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

Kourtney Douglas

Individual provider Technician/Technologist · NPI 1477285773

Kourtney Douglas is a Technician/Technologist in Grosse Pointe Woods, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893
Phone: (313) 343-1370
Show map & directions

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

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1477285773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address19251 Mack Ave Ste M450, Grosse Pointe Woods, MI 48236-2893

Other providers in Grosse Pointe Woods