Ellen Kuczynski, CTRS
Licensed Practical Nurse in Rockford, MI. Individual provider (NPI-1).
NPI number1487033643
StatusActive
Last updated in NPPESMay 21, 2015
Details
- NPI
- 1487033643
- Entity type
- Individual (NPI-1)
- Name
- Ellen Kuczynski
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2015
- Last updated
- May 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 63331 | MI | Yes |
Practice location
6644 Checkerberry Ln NeRockford, MI 49341-8918
Phone 616-450-2643
Mailing address
6644 Checkerberry Ln NeRockford, MI 49341-8918
Phone 616-450-2643
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All 13 Licensed Practical Nurse providers in Rockford · All 641 providers in Rockford
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