KELLY ANNE LUSK NPI 1548059769

NPI Information

  • NPI: 1548059769
  • Provider Name: KELLY ANNE LUSK
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 303 EAST KEARSLEY STREET
    4125 WILLIAM S. WHITE BUILDING
    FLINT, MI
    ZIP 48502
  • Phone: (248) 595-4916

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NPI Details

Kelly Anne Lusk is a critical care medicine registered nurse in Flint, MI. Kelly Anne Lusk NPI is 1548059769. The provider is registered as an individual entity type.

The provider's business location address is:

303 EAST KEARSLEY STREET
4125 WILLIAM S. WHITE BUILDING
FLINT, MI
ZIP 48502
Phone: (248) 595-4916

The enumeration date for this NPI number is 5/5/2025 and was last updated on 5/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine4704371979MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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