Kelly Burleson
Individual provider Active NPI Licensed Practical Nurse · Flushing, MI
NPI 1720550338 · NPPES record last updated Dec 20, 2018
Key facts
- NPI
- 1720550338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703092543 (MI)
- Practice address
- 2521 N Elms Rd
Flushing, MI 48433-9423 - Phone
- (810) 487-5521
- NPI assigned
- Dec 20, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703092543 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703092543 | MI | Yes |
Addresses
Primary practice location
2521 N Elms Rd
Flushing, MI 48433-9423
Mailing address
2521 N Elms Rd
Flushing, MI 48433-9423
Phone (810) 487-5521
Other providers in Flushing, MI
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- Jeremy Michael Burley
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- Linda Burris
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All providers in Flushing, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2018. 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.