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

Mrs. Kimberly Nicole Tracy

Individual provider Community Health Worker · NPI 1639820848

Mrs. Kimberly Nicole Tracy is a Community Health Worker in Owosso, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1484 N M 52
Owosso, MI 48867-1235
Phone: (770) 373-5822
Fax: (248) 712-4381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (MI)
Technician/Technologist Taxonomy 156F00000X

Record details

NPI number1639820848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2022
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022

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