Kelly Marie Keiffer, CDCA

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI 1437009792 · NPPES record last updated Jan 28, 2026

Key facts

NPI
1437009792
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3622 Prospect Ave E
Cleveland, OH 44115-2704
Phone
(216) 431-4600
NPI assigned
Jan 28, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Counseling & Mediation Services, Inc. Past Accepting new patients
Imex Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3622 Prospect Ave E
Cleveland, OH 44115-2704

Mailing address

6475 Westminster Dr
Parma, OH 44129-4902

Other providers in Cleveland, OH

All providers in Cleveland, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.