Kellen Taylor
Individual provider Active NPI Personal Care Attendant · Lennon, MI
NPI 1992463350 · NPPES record last updated Dec 2, 2021
Key facts
- NPI
- 1992463350
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 11410 E Lennon Rd
Lennon, MI 48449-9666 - Phone
- (989) 494-0553
- NPI assigned
- Dec 2, 2021
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
11410 E Lennon Rd
Lennon, MI 48449-9666
Mailing address
11711 Park Dr
Lennon, MI 48449-9307
Phone (989) 472-7987
Other providers in Lennon, MI
- Gabrielle Lynn Smith
- Jennifer Ann Steck
- Kayser Michael Steck
- Jalissa Marie Sutliff
- Angyl Marie Taber
- Logan Matthew Taylor
- Susan Ann Taylor
- Latonya Shante Thomas
- Lyndan Michell Tucker
- Kiesha A Wade
All providers in Lennon, MI · Personal Care Attendant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2021. 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.