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STACEY KALLENBACH
NPI 1235528712
Licensed Practical Nurse in Sterling Heights, MI

Active since January 21, 2015
12192 CORVAIR DR, STERLING HEIGHTS, MI 48312(907) 440-6870 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Kallenbach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY KALLENBACH (NPI 1235528712) is an individual licensed practical nurse in Sterling Heights, Michigan, licensed in Michigan (4703114282) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1235528712
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACEY KALLENBACH
Location Address12192 CORVAIR DRSterling Heights, MI 48312-4026
Mailing Address12192 Corvair DrSterling Heights, MI 48312-4026 · (907) 440-6870
Phone(907) 440-6870
Sole ProprietorNo
Enumeration DateJanuary 21, 2015
✔ NPI 1235528712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703114282
Definition
A licensed practical nurse 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.
12192 CORVAIR DR, Sterling Heights, MI 48312
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Kallenbach's NPI number?

The NPI number for Stacey Kallenbach is 1235528712. It was assigned to this individual provider in the NPPES registry on January 21, 2015.

Where is Stacey Kallenbach located?

Stacey Kallenbach practices at 12192 Corvair Dr, Sterling Heights, MI 48312. The listed phone number is (907) 440-6870.

What is Stacey Kallenbach's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacey Kallenbach was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.