Individual
KRISTIN KENTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
37450 SCHOOLCRAFT RD STE 110, LIVONIA, MI 48150-1000
(734) 458-4601
Mailing address
37450 SCHOOLCRAFT RD STE 110, LIVONIA, MI 48150-1000
(734) 458-4601
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
4704277986
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704277986
MI
Other
Enumeration date
04/17/2014
Last updated
05/19/2020
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