Kelsey Lynn Olow

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F04260568 Issued in MI

Practice address

25631 Little Mack Ave Ste 205
Saint Clair Shores, MI 48081-2108

Phone

(586) 443-2930

NPI assigned

May 13, 2026

Last updated

May 13, 2026By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1316876774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16724 ABELA DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352255",
            "telephone_number": "586-596-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25631 LITTLE MACK AVE STE 205",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812108",
            "telephone_number": "586-443-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOW",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F04260568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Odren, D.O.
• Chima Ohaya, PHARMACIST
• Blessing N. Okoronkwo, M.D.
• Monika Elizabeth Olchawa-Begeny, M.D
• Allan Jeffrey Oleinick, D.D.S
• Logan A Oney, MD
• Optim Care Center LLC
• Orthodetroit PLLC
• Jennifer Osborn, LMFT
• Geoffrey D Osgood, M.D.

• Family Nurse Practitioner in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.