Kwame Larry
Kwame Larry is a Licensed Practical Nurse in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2016.
- Licensed in
- MI
- In the registry since
- 2016
Practice location Address checks out
25624 W 12 Mile RdSouthfield, MI 48034-8048
Phone: (313) 914-8696
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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 4703116004 (MI) |
|---|
Record details
| NPI number | 1457805269 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 9, 2016 |
| Last updated in NPPES | August 9, 2016 |
| Mailing address | 25624 W 12 Mile Rd, Southfield, MI 48034-8048 |
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