Kyselka, Luana J

Kyselka, Luana J is an sole proprietor health care provider with primary practice located at 2877 Crooks Rd Ste D, Troy MI 48084-4717. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Kyselka, Luana J can be contacted via phone (248) 643-6634.

Contact Information

Primary practice address
2877 Crooks Rd Ste D Troy MI 48084-4717
Phone: (248) 643-6634
Fax: (248) 643-7165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 4301043787 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301043787 Michigan
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 4301043787 Michigan

Profile Details

NPI number 1619968872
LBN Legal business name Kyselka, Luana J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Feb 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619968872 NPPES
Michigan MEDICAID 2733930

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