GRAND BLANC PLASTIC SURGERY
NPI 1104005917
Specialist in Grand Blanc, MI

Q: What is Kimberly A Pummill MD PC's NPI number?

The NPI number for Kimberly A Pummill MD PC is 1104005917. It was assigned to this organization in the NPPES registry on October 29, 2007. The provider is also known as Grand Blanc Plastic Surgery.

Q: What is Kimberly A Pummill MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 29, 2007

3595 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-7888 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grand Blanc Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND BLANC PLASTIC SURGERY (NPI 1104005917) is a healthcare organization registered as a specialist in Grand Blanc, Michigan and active in the NPI registry since October 2007. The organization lists Kimberly Ann Pummill, Doctor, as its authorized official.

NPPES Registry Identity

NPI1104005917

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameKIMBERLY A PUMMILL MD PC

Location Address3595 GENESYS PKWYGrand Blanc, MI 48439-7335

Mailing Address3595 Genesys PkwyGrand Blanc, MI 48439-7335 · (810) 606-7888

Phone(810) 606-7888

Organization SubpartNo

Authorized OfficialKimberly Ann PummillDoctor · (810) 606-7888

Enumeration DateOctober 29, 2007

Last NPPES UpdateNovember 27, 2007

✔ NPI 1104005917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MI · 4301070280

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3595 GENESYS PKWY, Grand Blanc, MI 48439

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Other Names 1

Other NameGrand Blanc Plastic Surgery

Other Identifiers 6

Other6U4349Hap

Other14465Mcare

Other7319368Aetna

Medicare PINOP13640MI

Other0251130MI · Blue Cross

Other0993473MI · Health Plus

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly A Pummill MD PC's NPI number?

The NPI number for Kimberly A Pummill MD PC is 1104005917. It was assigned to this organization in the NPPES registry on October 29, 2007. The provider is also known as Grand Blanc Plastic Surgery.

Where is Kimberly A Pummill MD PC located?

Kimberly A Pummill MD PC is located at 3595 Genesys Pkwy, Grand Blanc, MI 48439. The listed phone number is (810) 606-7888.

What is Kimberly A Pummill MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kimberly A Pummill MD PC was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.