Individual provider · Type 1 NPI

Stacey Kallenbach

Licensed Practical Nurse · Sterling Heights, MI

NPI number 1235528712 Active

Practice location

12192 Corvair Dr
Sterling Heights, MI 48312-4026

Call (907) 440-6870 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703114282 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1235528712

Stacey Kallenbach's National Provider Identifier is 1235528712, issued on Jan 21, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sterling Heights, MI. The record was last updated on Jan 21, 2015.