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

Kati Pannecouck, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1063390169

Kati Pannecouck, REGISTEREDNURSE is a Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

17950 Woodward Ave
Detroit, MI 48203-2260
Phone: (313) 401-0929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704411233 (MI)

Record details

NPI number1063390169
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

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