Koustas, Kelly Joan

Koustas, Kelly Joan is an sole proprietor health care provider with primary practice located at 751 E Grand Blvd , Detroit MI 48207-2529. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Koustas, Kelly Joan can be contacted via phone (313) 995-0523.

Contact Information

Primary practice address
751 E Grand Blvd Detroit MI 48207-2529
Phone: (313) 995-0523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703110676 Michigan

Profile Details

NPI number 1528437597
LBN Legal business name Koustas, Kelly Joan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2015
Last updated Sep 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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