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KELLI HACKEL
NPI 1063147908
Registered Nurse - Addiction (Substance Use Disorder) in Canton, MI

Active since July 22, 2022
43825 MICHIGAN AVE, CANTON, MI 48188(734) 397-3088 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Hackel NPPES

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

KELLI HACKEL (NPI 1063147908) is an individual addiction (substance use disorder) provider in Canton, Michigan, licensed in Michigan (4704334763) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1063147908
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameKELLI HACKEL
Location Address43825 MICHIGAN AVECanton, MI 48188-2551
Mailing Address26100 W 12 Mile Rd Apt 233Southfield, MI 48034-1711
Phone(734) 397-3088
Sole ProprietorYes
Enumeration DateJuly 22, 2022
NPPES CertifiedJuly 22, 2022
✔ NPI 1063147908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in MI · 4704334763
43825 MICHIGAN AVE, Canton, MI 48188
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA LYNN SANDERS RN
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
FLORENCE IGBAWUA
Social Worker
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. JONATHAN AARON KOZIEL NP
Family Medicine
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KENNAYA YAUQUAN DAVIS LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. TYLER MANNS
Counselor (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MANDY GRAHAM
Peer Specialist
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. ROY HELTON LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
HAILEY PENZAK M.S., TLLP
Psychologist (Clinical)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088

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 Kelli Hackel's NPI number?

The NPI number for Kelli Hackel is 1063147908. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Where is Kelli Hackel located?

Kelli Hackel practices at 43825 Michigan Ave, Canton, MI 48188. The listed phone number is (734) 397-3088.

What is Kelli Hackel's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Kelli Hackel was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.