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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANIQUE KITCHEN, NURSE

Active Sole Proprietor

SHANIQUE KITCHEN, NURSE is a Licensed Practical Nurse healthcare provider located in MELVINDALE, Michigan. NPI 1104567056 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · MELVINDALE, MI

Registration Details

NPI Number
1104567056
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2022 (4.3195211733705 yrs)
Last Updated
Apr 5, 2022
License
4703114781 (MI)
Sole Proprietor
Yes

Practice Information

Address
17143 ROBERT ST
MELVINDALE, MI, 481221014
Browse MI providers · Browse ZIP 48122
Phone
3136582037
Primary Specialty
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.