1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Technician Other
  6. NPI Profile

TINA MCKELLERY
NPI 1063869865
Technician, Other in Detroit, MI

Active since May 21, 2016
19932 BLACKSTONE ST, DETROIT, MI 48219(313) 538-5170 Get Directions Write a Review

NPPES record last updated: May 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tina Mckellery NPPES

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

TINA MCKELLERY (NPI 1063869865) is an individual technician, other provider in Detroit, Michigan and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1063869865
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameTINA MCKELLERY
Location Address19932 BLACKSTONE STDetroit, MI 48219-1313
Mailing Address19932 Blackstone StDetroit, MI 48219-1313
Phone(313) 538-5170
Sole ProprietorYes
Enumeration DateMay 21, 2016
✔ NPI 1063869865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
19932 BLACKSTONE ST, Detroit, MI 48219
Open in Google Maps ↗

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 Tina Mckellery's NPI number?

The NPI number for Tina Mckellery is 1063869865. It was assigned to this individual provider in the NPPES registry on May 21, 2016.

Where is Tina Mckellery located?

Tina Mckellery practices at 19932 Blackstone St, Detroit, MI 48219. The listed phone number is (313) 538-5170.

What is Tina Mckellery's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Tina Mckellery was last updated on May 21, 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.