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KELLY JOAN KOUSTAS
NPI 1528437597
Licensed Practical Nurse in Detroit, MI

Active since September 21, 2015
751 E GRAND BLVD, DETROIT, MI 48207(313) 995-0523 Get Directions Write a Review

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

About Kelly Joan Koustas NPPES

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

KELLY JOAN KOUSTAS (NPI 1528437597) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703110676) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1528437597
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY JOAN KOUSTAS
Location Address751 E GRAND BLVDDetroit, MI 48207-2529
Mailing Address24616 Notre DameDearborn, MI 48124 · (313) 995-0523
Phone(313) 995-0523
Sole ProprietorYes
Enumeration DateSeptember 21, 2015
✔ NPI 1528437597 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 · 4703110676
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.
751 E GRAND BLVD, Detroit, MI 48207
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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.

MS. CAROLINE LEHRER L.L.M.S.W.
Social Worker (Clinical)
751 E GRAND BLVD
DETROIT, MI 48207
Wayne County (313) 922-2222
MRS. JANE KENNEDY BAYS LMSW
Social Worker (Clinical)
751 E GRAND BLVD
DETROIT, MI 48207
Wayne County (313) 922-2222
MARYAM SYED MA, MS, MSW, LLMSW,
Social Worker
751 E GRAND BLVD
DETROIT, MI 48207
Wayne County (313) 922-2222
JACQUE RENE NOE
Counselor (Addiction (Substance Use Disorder))
751 E GRAND BLVD
DETROIT, MI 48207
Wayne County (313) 922-2222
ERICA LOZON B.A. (PSYCHOLOGY)
Substance Abuse Rehabilitation Facility
751 E GRAND BLVD
DETROIT, MI 48207
Wayne County (313) 922-2222
MRS. ELIZABETH KINCAID BA
Counselor (Addiction (Substance Use Disorder))
751 E GRAND BLVD
DETROIT, MI 48207
Wayne County (313) 922-2222
MRS. TAREN RENE GROWE LMSW
Social Worker (Clinical)
751 E GRAND BLVD
DETROIT, MI 48207
Wayne County (313) 922-2222
COURTNEY SHAREN PIPPIN BA
Counselor
751 E GRAND BLVD
DETROIT, MI 48207
Wayne County (313) 922-2222

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 Kelly Koustas's NPI number?

The NPI number for Kelly Koustas is 1528437597. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Kelly Koustas located?

Kelly Koustas practices at 751 E Grand Blvd, Detroit, MI 48207. The listed phone number is (313) 995-0523.

What is Kelly Koustas'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 Kelly Koustas was last updated on September 21, 2015. 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.