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NPI Code Detail

MEDICARE: KIM PIANKO

MEDICARE: KIM PIANKO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12279P1005XPulmonary Rehabilitation Registered Respiratory Therapist4401006362MI

General Provider Information

NPI Number : 1295197432
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM PIANKO
Provider Business Mailing Address
First Line : 1811 WILLOWICKE DR
Second Line :
City : WIXOM
State : MI
Zip : 48393-1184
Country : US
Telephone Number : 248-860-0889
Fax Number :
Provider Business Practice Location Address
First Line : 7107 N WAYNE RD
Second Line :
City : WESTLAND
State : MI
Zip : 48185-2172
Country : US
Telephone Number : 734-728-5660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2016
Last Update Date : 03/27/2016

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Directions to “ KIM PIANKO ” Practice Location

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