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Stacey Kallenbach
Licensed Practical Nurse in Sterling Heights, Michigan
NPI 1235528712

Stacey Kallenbach is a Licensed Practical Nurse based in Sterling Heights, MI. Stacey Kallenbach practices in Sterling Heights, MI. The NPI Number for Stacey Kallenbach is 1235528712 and holds a License No. 4703114282 (Michigan).

The current practice location address for Stacey Kallenbach is 12192 Corvair Dr, Sterling Heights, MI and can be reached out via phone at 907-440-6870. You can also correspond with Stacey Kallenbach through the mailing address at 12192 CORVAIR DR, STERLING HEIGHTS, MI - 48312-4026 (mailing address contact number: 907-440-6870).

Location: 12192 Corvair Dr, Sterling Heights, MI, 48312-4026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235528712
Provider Name
Stacey Kallenbach
Credential
Provider Entity Type
Individual
Gender
Female
Address
12192 Corvair Dr, Sterling Heights, MI, 48312-4026
Phone Number
907-440-6870
Fax Number
Provider Enumeration Date
01/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12192 Corvair Dr
City
Sterling Heights
State
Michigan
Zip
48312-4026
Phone Number
907-440-6870
Fax Number
person
Provider Business Mailing Address Details
Address
12192 Corvair Dr
City
Sterling Heights
State
Michigan
Zip
48312-4026
Phone Number
907-440-6870
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703114282 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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