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

Miss. Kimberly Patrice Debose

Individual provider Peer Specialist · NPI 1720764913

Miss. Kimberly Patrice Debose is a Peer Specialist in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1145 W Grand Blvd
Detroit, MI 48208-2336
Phone: (313) 324-8900
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1720764913
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2023
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

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