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MRS. KIMBERLY T CANTILLON PA
NPI 1740218999
Physician Assistant - Medical in Novi, MI

Active since June 28, 2006
39450 W 12 MILE RD, NOVI, MI 48377(313) 461-4632 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberly T Cantillon Pa NPPES

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

MRS. KIMBERLY T CANTILLON PA (NPI 1740218999) is an individual medical provider in Novi, Michigan, licensed in Michigan (5601004760) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1740218999
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KIMBERLY T CANTILLONCredential: PA
Location Address39450 W 12 MILE RDNovi, MI 48377-3600
Mailing Address39450 W 12 Mile RdNovi, MI 48377-3600 · (313) 461-4632
Phone(313) 461-4632
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1740218999 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 · 5601004760
39450 W 12 MILE RD, Novi, MI 48377
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Other Names 1

Former Name (1)Miss Kimberly T Wilson Pa

Other Identifiers 1

Other5301004760MI · License

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.

MONA KSAR PHARMD
Pharmacist
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 680-6075
ROBERT CAMAJ
Physical Therapist
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-2300
HENRY FORD HEALTH SYSTEM
Pharmacy (Community/Retail Pharmacy)
39450 W 12 MILE RD, STE 1B
NOVI, MI 48377
Oakland County (248) 344-0705
MS. ASHTON KYLEIGH TAYLOR LMSW
Social Worker (Clinical)
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 661-7393
DR. ROBERT MATTHEW KOIVUNEN D.P.M.
Podiatrist
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-2390
KELLY MICHELLE WEIR AT, ATC, PES, CSCS
Specialist/Technologist (Athletic Trainer)
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-2300
GRETA PARK
Psychiatry & Neurology (Psychiatry)
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-6688
ANGELA ILAGAN PA-C
Physician Assistant
39450 W 12 MILE RD
NOVI, MI 48377
Oakland County (248) 344-0710

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 Cantillon's NPI number?

The NPI number for Kimberly Cantillon is 1740218999. It was assigned to this individual provider in the NPPES registry on June 28, 2006. The provider is also known as Miss Kimberly T Wilson PA.

Where is Kimberly Cantillon located?

Kimberly Cantillon practices at 39450 W 12 Mile Rd, Novi, MI 48377. The listed phone number is (313) 461-4632.

What is Kimberly Cantillon's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Cantillon was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.