Kelly Joan Koustas
Kelly Joan Koustas is a Licensed Practical Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
751 E Grand BlvdDetroit, MI 48207-2529
Phone: (313) 995-0523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703110676 (MI) |
|---|
Record details
| NPI number | 1528437597 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2015 |
| Last updated in NPPES | September 21, 2015 |
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