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KENDELLE NELSON
NPI 1073489597
Peer Specialist in Menominee, MI

Active since October 13, 2025
1717 14TH AVE, MENOMINEE, MI 49858(906) 290-1490(906) 228-2469 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendelle Nelson NPPES

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

KENDELLE NELSON (NPI 1073489597) is an individual peer specialist in Menominee, Michigan and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1073489597
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKENDELLE NELSON
Location Address1717 14TH AVEMenominee, MI 49858-2549
Mailing Address1717 14th AveMenominee, MI 49858-2549 · (906) 290-1490 · Fax (906) 228-2469
Phone(906) 290-1490
Fax(906) 228-2469
Sole ProprietorNo
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1073489597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1717 14TH AVE, Menominee, MI 49858
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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 Kendelle Nelson's NPI number?

The NPI number for Kendelle Nelson is 1073489597. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Kendelle Nelson located?

Kendelle Nelson practices at 1717 14th Ave, Menominee, MI 49858. The listed phone number is (906) 290-1490.

What is Kendelle Nelson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kendelle Nelson was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.