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

Shanique Kitchen, NURSE

Individual provider Licensed Practical Nurse · NPI 1104567056

Shanique Kitchen, NURSE is a Licensed Practical Nurse in Melvindale, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

17143 Robert St
Melvindale, MI 48122-1014
Phone: (313) 658-2037
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703114781 (MI)

Record details

NPI number1104567056
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSE
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

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