Kelley Labonty CRNA

NPI 1033196654 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1033196654
Gender Female
Enumeration Date 12/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4201 SAINT ANTOINE ST
DETROIT MI, 48201-2153, US
Phone (952) 442-9770
Fax
Business Location
DEPT 203401
PO BOX 67000
DETROIT MI, 48267-0001, US
Phone (952) 442-9770
Fax (952) 442-3630
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704184648
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According to our database, Kelley Labonty CRNA NPI is 1033196654, taxonomy code is 367500000X and license number is 4704184648, license state is located at Michigan. Kelley Labonty CRNA physically located at 4201 Saint Antoine St, Detroit MI, 48201-2153. NPI Number Kelley Labonty CRNA has the Individual type.

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1033196654 NPI number is provided on an as is basis without warranty of any kind. 1033196654 is maintained by the National Plan & Provider Enumeration System. The contents of Kelley Labonty CRNA are for informational purposes only.