Kelly Joan Koustas - Detroit, MI

Kelly Joan Koustas

Licensed Practical Nurse in Detroit, Michigan

NPI 1528437597

Kelly Joan Koustas is a Licensed Practical Nurse based in Dearborn, MI. Kelly Joan Koustas practices in Detroit, MI. The NPI Number for Kelly Joan Koustas is 1528437597 and holds a License No. 4703110676 (Michigan).

The current practice location address for Kelly Joan Koustas is 751 E Grand Blvd, Detroit, MI and can be reached out via phone at 313-995-0523.

Location: 751 E Grand Blvd, Detroit, MI, 48124

NPI Number

1528437597

Provider Name

Kelly Joan Koustas

Credential

Provider Entity Type

Individual

Gender

Female

Address

751 E Grand Blvd, Detroit, MI, 48124

Phone Number

313-995-0523

Fax Number

Provider Enumeration Date

09/21/2015

Last Update Date

03/09/2024

Address

751 E Grand Blvd

City

Detroit

State

Michigan

Zip

48207-2529

Phone Number

313-995-0523

Fax Number

Address

751 E Grand Blvd

City

Detroit

State

Michigan

Zip

48207-2529

Phone Number

313-995-0523

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

4703110676 (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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