KELLIE R WILSON LPN
NPI 1013370634
Licensed Practical Nurse in Manistee, MI

Q: What is Kellie Wilson's NPI number?

The NPI number for Kellie Wilson is 1013370634. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Kellie Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Wilson was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2016

385 7TH ST, MANISTEE, MI 49660(231) 233-2565(231) 723-6335 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kellie R Wilson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE R WILSON LPN (NPI 1013370634) is an individual licensed practical nurse in Manistee, Michigan, licensed in Michigan (4703108511) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1013370634

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKELLIE R WILSONCredential: LPN

Location Address385 7TH STManistee, MI 49660-1966

Mailing Address385 7th StManistee, MI 49660-1966 · (231) 233-2565 · Fax (231) 723-6335

Phone(231) 233-2565

Fax(231) 723-6335

Sole ProprietorYes

Enumeration DateMarch 31, 2016

✔ NPI 1013370634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703108511

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

385 7TH ST, Manistee, MI 49660

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Wilson's NPI number?

The NPI number for Kellie Wilson is 1013370634. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Kellie Wilson located?

Kellie Wilson practices at 385 7th St, Manistee, MI 49660. The listed phone number is (231) 233-2565.

What is Kellie Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kellie Wilson was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.