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

Kimiko Parks, AGPCNP

Individual provider Primary Care Nurse Practitioner · NPI 1609393313

Kimiko Parks, AGPCNP is a Primary Care Nurse Practitioner in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

29866 Spring Hill Dr
Southfield, MI 48076-5735
Phone: (248) 798-3969
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704276586 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704276586 (MI)

Record details

NPI number1609393313
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedAugust 23, 2017
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021

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