Karen Kelly, RN

Primary specialty

Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X

License

4704434356 Issued in MI

Practice address

1643 Leverette St
Detroit, MI 48216-1932

Phone

(310) 795-0591

NPI assigned

Jul 28, 2026

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

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1700708286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 LEVERETTE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161932",
            "telephone_number": "310-795-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LEVERETTE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161932",
            "telephone_number": "310-795-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KAREN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "MI",
            "license": "4704434356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conrad Joseph Kelly
• Denise Ann Kelly, LMSW
• James Brian Kelly, M.D
• Jodie Ann Kelly
• Jolonda Kelly
• Kathleen Anne Kelly, PT
• Kerry M Kelly, COTA
• Margaret Clare Kelly, FNP-BC
• Natalie Kelly
• Samantha Rhea Kelly

• Clinical Nurse Specialist in Detroit, MI
• Providers in Detroit, 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 Jul 28, 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.