MS. SANDRA KAY KELLY AGACNP NPI 1396103016

NPI Information

NPI: 1396103016
Provider Name: MS. SANDRA KAY KELLY, AGACNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
300 NORTH AVE
BATTLE CREEK, MI
ZIP 49017
Phone: (269) 245-8446
Get Directions

MS. Sandra Kay Kelly, AGACNP is a gerontology nurse practitioner in Battle Creek, MI. MS. Sandra Kay Kelly, AGACNP NPI is 1396103016. 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:

300 NORTH AVE
BATTLE CREEK, MI
ZIP 49017-307
Phone: (269) 245-8446
Fax: (269) 966-2485

The enumeration date for this NPI number is 2/9/2016 and was last updated on 11/27/2023.

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
1	363LG0600X	Nurse Practitioner	Gerontology	4704168821	MICHIGAN	Yes

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: 5/5/2024

NPI Synchronization or Removal

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