Department of Licensing and Regulatory Affairs
Board of Medicine
KIMBERLY KAY PROVOAST
Physicians Assistants - Physician Assistant
License number
5601005840
Date granted
10/19/2010
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39310453
LAST UPDATED 2024-04-04 00:12:34 UTC
LAST UPDATED 2024-04-04 00:12:34 UTC
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