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KOURTNEY DOUGLAS
NPI 1477285773
Technician/Technologist in Grosse Pointe Woods, MI

Active since June 27, 2022
19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 48236(313) 343-1370 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kourtney Douglas NPPES

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

KOURTNEY DOUGLAS (NPI 1477285773) is an individual technician/technologist in Grosse Pointe Woods, Michigan and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1477285773
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameKOURTNEY DOUGLAS
Location Address19251 MACK AVE STE M450Grosse Pointe Woods, MI 48236-2893
Mailing Address19251 Mack Ave Ste M450Grosse Pointe Woods, MI 48236-2893
Phone(313) 343-1370
Sole ProprietorNo
Enumeration DateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1477285773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
19251 MACK AVE STE M450, Grosse Pointe Woods, MI 48236
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENDRA K MALCOLM
Behavior Technician
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County No phone listed
ASHLEY CRONK
Behavior Technician
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
RAVEN HARRELL
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
ALEXIS SMITH
Behavior Technician
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
MR. OMOLARA CEASAR
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
MISS ANGELINA CAVALIERE
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
DANIELLE REID
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
JAKE MITCHELL
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370

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 Kourtney Douglas's NPI number?

The NPI number for Kourtney Douglas is 1477285773. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Kourtney Douglas located?

Kourtney Douglas practices at 19251 Mack Ave Ste M450, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 343-1370.

What is Kourtney Douglas's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Kourtney Douglas was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.