KWAME LARRY
NPI 1457805269
Licensed Practical Nurse in Southfield, MI

Q: What is Kwame Larry's NPI number?

The NPI number for Kwame Larry is 1457805269. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Q: What is Kwame Larry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kwame Larry was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 09, 2016

25624 W 12 MILE RD, SOUTHFIELD, MI 48034(313) 914-8696 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kwame Larry NPPES

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

KWAME LARRY (NPI 1457805269) is an individual licensed practical nurse in Southfield, Michigan, licensed in Michigan (4703116004) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1457805269

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameKWAME LARRY

Location Address25624 W 12 MILE RDSouthfield, MI 48034-8048

Mailing Address25624 W 12 Mile RdSouthfield, MI 48034-8048 · (313) 914-8696

Phone(313) 914-8696

Sole ProprietorNo

Enumeration DateAugust 9, 2016

✔ NPI 1457805269 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 · 4703116004

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.

25624 W 12 MILE RD, Southfield, MI 48034

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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 Kwame Larry's NPI number?

The NPI number for Kwame Larry is 1457805269. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Kwame Larry located?

Kwame Larry practices at 25624 W 12 Mile Rd, Southfield, MI 48034. The listed phone number is (313) 914-8696.

What is Kwame Larry'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 Kwame Larry was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.