Kelly Kyllonen, RN

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

4704300930 Issued in MI

Practice address

5370 E Baldwin Rd
Grand Blanc, MI 48439-9532

Phone

(810) 606-9950

Fax

(810) 606-9951

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1053989277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 E BALDWIN RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399532",
            "telephone_number": "810-606-9950",
            "fax_number": "810-606-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 E BALDWIN RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399532",
            "telephone_number": "810-606-9950",
            "fax_number": "810-606-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLLONEN",
        "first_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "MI",
            "license": "4704300930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Kure, M.D.
• Andrea Lynn Kurecka, CRNA
• Ellie Kurkechian
• Nancy J Kursik, MD
• Kristen Marie Kurzeja, PT
• Jason M Labar, CRNA
• Jeanna A Labar, CRNA
• Karrissa Kay Labelle, LMSW-C
• Virginia Labond, MD
• Diane Lacroix, NP

• Clinical Nurse Specialist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.