Kelley Marie Korona

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704171137 Issued in MI

Practice address

3851 West Rd
Trenton, MI 48183-2351

Phone

(734) 675-5100

NPI assigned

Jun 1, 2006

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1528005279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42606 REDFERN ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873454",
            "telephone_number": "734-730-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832351",
            "telephone_number": "734-675-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORONA",
        "first_name": "KELLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704171137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Klavanian, D.O.
• Joseph Kleber, M.D.
• Joseph Mark Klosterman Jr., D.O.
• Abbas Kobeissi, DO
• Thomas Windt Kolderman, DDS
• Lindsay Kowalski
• Kimberly Krakosky, DPT
• Raymond Robert Kramer, MPT
• Krause-Taylor P.C.
• Courtney Ann Kryda

• Adult Health Nurse Practitioner in Trenton, MI
• Providers in Trenton, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.