Crystal Kuecken
Individual provider Active NPI Personal Care Attendant · Clay, MI
NPI 1124186283 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124186283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1629 Mill St
Clay, MI 48001-4514 - Phone
- (810) 388-1200
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1629 Mill St
Clay, MI 48001-4514
Mailing address
603 Westminister St
Marine City, MI 48039-3497
Phone (810) 388-1200
Other providers in Clay, MI
- Downriver Community Services Inc.
- Kimberly Durant
- Casey Eros
- Jennifer J Gee
- Donna J Knispel
- Charity Joyce Marinelli
- Rebecca Ann Miller
- Jamie Lynne Overbaugh
- Strong Roots Therapy LLC
- Wandering Path Counseling, LLC
All providers in Clay, MI · Personal Care Attendant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.