Kaelyn Grace Dunn, RN
Individual provider Active NPI Registered Nurse · Cannon, KY
NPI 1700713138 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1700713138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4020399 (KY)
- Practice address
- 621 Valentine Branch Rd
Cannon, KY 40923-6371 - Phone
- (606) 595-0827
- NPI assigned
- May 7, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4020399 | KY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4020399 | KY | Yes |
Addresses
Primary practice location
621 Valentine Branch Rd
Cannon, KY 40923-6371
Mailing address
621 Valentine Branch Rd
Cannon, KY 40923-6371
Phone (606) 595-0827
Other providers in Cannon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.