Kelly Kyllonen, RN is a
Clinical Nurse Specialist - Long-term Care based in Grand Blanc, Michigan. Kelly Kyllonen is licensed to practice in Michigan (license number 4704300930) and her current practice location is
5370 E Baldwin Rd, Grand Blanc, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 606-9950.
NPI number for Kelly Kyllonen is 1053989277 and her current mailing address is 5370 E Baldwin Rd, Grand Blanc, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053989277.
Provider's Profile
Full Name | Kelly Kyllonen |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Long-term Care |
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Location | 5370 E Baldwin Rd, Grand Blanc, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053989277
- Provider Enumeration Date: 06/14/2021
- Last Update Date: 06/14/2021
Medical Identifiers
Medical identifiers for Kelly Kyllonen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053989277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SL0600X | Clinical Nurse Specialist - Long-term Care | 4704300930 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Kyllonen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Kyllonen, RN 5370 E Baldwin Rd, Grand Blanc, MI 48439-9532 Ph: (810) 606-9950 | Kelly Kyllonen, RN 5370 E Baldwin Rd, Grand Blanc, MI 48439-9532 Ph: (810) 606-9950 |
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