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KIMBERLY MIX PA-C
NPI 1285753004
Physician Assistant - Medical in Detroit, MI

Active since March 29, 2007
6071 W OUTER DR, DETROIT, MI 48235(313) 966-3300 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Mix Pa-c NPPES

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

KIMBERLY MIX PA-C (NPI 1285753004) is an individual medical provider in Detroit, Michigan, licensed in Michigan (5601002397) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1285753004
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY MIXCredential: PA-C
Location Address6071 W OUTER DRDetroit, MI 48235-2624
Mailing Address6071 W Outer Dr Sgr Obgyn 5th FlDetroit, MI 48235 · (313) 966-3246
Phone(313) 966-3300
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 26, 2009
✔ NPI 1285753004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601002397
6071 W OUTER DR, Detroit, MI 48235
Open in Google Maps ↗

Other Identifiers 1

Medicare PINP35120127MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LILIA POPADIUK P.A.
Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 993-0200
WALEED OBAID M.D
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3250
JAY KINARIWALA
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-1389
MULUKA TAHIR OMAR DO
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
NICKLAS BARA MD
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
DR. ROBERT T MALINOWSKI M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
ZAKLINA DENDOOVEN CRNA
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (952) 442-9770
DR. MATTHEW J GRIFFIN M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300

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 Mix's NPI number?

The NPI number for Kimberly Mix is 1285753004. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Kimberly Mix located?

Kimberly Mix practices at 6071 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 966-3300.

What is Kimberly Mix's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Kimberly Mix accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kimberly Mix as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Mix was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.