Individual
KYRRAS AYRYK CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5600 W MAPLE RD, D-408, W BLOOMFIELD, MI 48322-3704
(248) 971-4444
Mailing address
5600 W MAPLE RD, D-408, W BLOOMFIELD, MI 48322-3704
(248) 971-4444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704113340
MI
163WR0400X
Rehabilitation Registered Nurse
Primary
4704113340
MI
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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