Provider Demographics
NPI:1932557352
Name:NIFFIN, KARA ANN
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:ANN
Last Name:NIFFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 DUNHILL DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1120
Mailing Address - Country:US
Mailing Address - Phone:248-880-9295
Mailing Address - Fax:248-684-2694
Practice Address - Street 1:1900 DUNHILL DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1120
Practice Address - Country:US
Practice Address - Phone:248-880-9295
Practice Address - Fax:248-684-2694
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other