MS. KELLY SUZANNE LUCKA R.N. NPI 1679583066

NPI Information

  • NPI: 1679583066
  • Provider Name: MS. KELLY SUZANNE LUCKA, R.N.
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 2835 CHARTER DR
    TROY, MI
    ZIP 48083
  • Phone: (248) 885-1291

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NPI Details

MS. Kelly Suzanne Lucka, R.N. is a home health registered nurse in Troy, MI. MS. Kelly Suzanne Lucka, R.N. NPI is 1679583066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2835 CHARTER DR
TROY, MI
ZIP 48083-306
Phone: (248) 885-1291

The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/8/2007.

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
1163WH0200XRegistered NurseHome Health4704247609MICHIGANYes

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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