Provider Demographics
NPI:1457192551
Name:KLEIT, HUSSEIN (NP)
Entity type:Individual
Prefix:
First Name:HUSSEIN
Middle Name:
Last Name:KLEIT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23306 CARLYSLE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3331
Mailing Address - Country:US
Mailing Address - Phone:347-944-9595
Mailing Address - Fax:
Practice Address - Street 1:7633 E JEFFERSON AVE STE 170
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-3731
Practice Address - Country:US
Practice Address - Phone:313-740-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704352725363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily