STACEY KALLENBACH

Licensed Practical Nurse

Active Individual
NPI: 1235528712

Practice Address

12192 CORVAIR DR
Sterling Heights, MI 48312

Phone: (907) 440-6870

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 4703114282 (MI)

Frequently Asked Questions

NPI 1235528712 is the National Provider Identifier for STACEY KALLENBACH, a Licensed Practical Nurse provider located in Sterling Heights, MI. This NPI was enumerated on January 21, 2015.
STACEY KALLENBACH practices at 12192 CORVAIR DR, Sterling Heights, MI 48312.

Quick Facts

NPI
1235528712
Type
Individual
Enumerated
Jan 21, 2015
Last Updated
Jan 21, 2015

Nearby Providers