Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kallie Jimmerson

Individual provider Obstetrics & Gynecology Physician · NPI 1770377566

Kallie Jimmerson is an Obstetrics & Gynecology Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

22250 Providence Dr Ste 700
Southfield, MI 48075-6215
Phone: (248) 849-3401
Fax: (248) 849-4106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 5101028660APP25 (MI)

Record details

NPI number1770377566
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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