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

Mrs. Kimberly T Cantillon, PA

Individual provider Medical Physician Assistant · NPI 1740218999

Mrs. Kimberly T Cantillon, PA is a Medical Physician Assistant in Novi, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone: (313) 461-4632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601004760 (MI)

Record details

NPI number1740218999
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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