Kelly Cousino is a Contractor in Detroit, Michigan. Kelly Cousino practices all healthcare services and medical treatments related to Contractor. The NPI Number for Kelly Cousino is 1609904390. The last update date is 2021-11-03.
Kelly Cousino's current location address is 4646 John R St Rm A5109, Detroit, Michigan. You can contact this provider via phone number 3135761217. The mailing address for Kelly Cousino is 4646 John R St Rm A5109, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Cousino |
|---|---|
| Address | 4646 John R St Rm A5109, Detroit, Michigan |
| Phone Number | 3135761217 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CTRS |
NPI Number Detail
| NPI Number | 1609904390 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2021-11-03 |
Provider Mailing Address Detail
| Address | 4646 John R St Rm A5109 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482011916 |
| Phone Number | 3135761217 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the Kelly Cousino's 1609904390?
The Kelly Cousino's NPI (National Provider Identifier) Number is 1609904390. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly Cousino's physical address?
The Kelly Cousino is physically located at 4646 John R St Rm A5109, in the city of Detroit, MI, with the postal code 482011916.
What is the Kelly Cousino's specialty and taxonomy code?
The Kelly Cousino's specialty is Contractor, and the corresponding taxonomy code is 171W00000X.
When was the Kelly Cousino's 1609904390 issued?
The Kelly Cousino's 1609904390 was issued on 2007-03-02.
As of what date were the details pertaining to Kelly Cousino last refreshed?
The information related to the Kelly Cousino, including its address, specialty, and other relevant details, was last updated on 2021-11-03.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY