KELLY ZIMMERMAN PNP-PC
NPI 1619370962
Nurse Practitioner - Pediatrics in Farmington Hills, MI

Active since October 01, 2014
23133 ORCHARD LAKE RD STE 100, FARMINGTON HILLS, MI 48336(248) 477-0100(248) 477-6153 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2020, Nov 17, 2020, Oct 22, 2020 (3 updates tracked since 2020).

About Kelly Zimmerman Pnp-pc NPPES

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

KELLY ZIMMERMAN PNP-PC (NPI 1619370962) is an individual pediatrics provider in Farmington Hills, Michigan, licensed in Michigan (4704224324) and active in the NPI registry since October 2014.Information from the official NPPES registry record, last updated December 15, 2020.

NPPES Registry Identity

NPI1619370962
Entity TypeIndividualFemale
Provider Legal NameKELLY ZIMMERMANCredential: PNP-PC
Location Address23133 ORCHARD LAKE RD STE 100Farmington Hills, MI 48336-3278
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Fax(248) 477-6153
Sole ProprietorNo
Enumeration DateOctober 1, 2014
Last NPPES UpdateDecember 15, 20203 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
NPI 1619370962 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Nurse Practitioner · Pediatrics

Taxonomy 363LP0200X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in MI · 4704224324
23133 ORCHARD LAKE RD STE 100, Farmington Hills, MI 48336

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
23133 ORCHARD LAKE RD STE 100
FARMINGTON, MI 48336
Pediatrics
23133 ORCHARD LAKE RD STE 100
FARMINGTON, MI 48336
Nurse Practitioner (Pediatrics)
23133 ORCHARD LAKE RD STE 100
FARMINGTON, MI 48336
Pediatrics
23133 ORCHARD LAKE RD STE 100
FARMINGTON, MI 48336
Nurse Practitioner
23133 ORCHARD LAKE RD STE 100
FARMINGTON, MI 48336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619370962, enumerated as an "individual" on October 01, 2014.

The provider is located at 23133 ORCHARD LAKE RD STE 100 FARMINGTON HILLS, MI 48336 and the phone number is (248) 477-0100.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.