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Kwame Larry
Licensed Practical Nurse in Southfield, Michigan
NPI 1457805269

Kwame Larry is a Licensed Practical Nurse based in Southfield, MI. Kwame Larry practices in Southfield, MI. The NPI Number for Kwame Larry is 1457805269 and holds a License No. 4703116004 (Michigan).

The current practice location address for Kwame Larry is 25624 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 313-914-8696.

Location: 25624 W 12 Mile Rd, Southfield, MI, 48034-8048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457805269
Provider Name
Kwame Larry
Credential
Provider Entity Type
Individual
Gender
Male
Address
25624 W 12 Mile Rd, Southfield, MI, 48034-8048
Phone Number
313-914-8696
Fax Number
Provider Enumeration Date
08/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25624 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48034-8048
Phone Number
313-914-8696
Fax Number
person
Provider Business Mailing Address Details
Address
25624 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48034-8048
Phone Number
313-914-8696
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703116004 (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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