1. Home
  2. Directory
  3. North Dakota
  4. Rolla
  5. Nurse Practitioner
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KARLY JO KENNELLY
NPI 1093626269
Nurse Practitioner - Psychiatric/Mental Health in Rolla, ND

Active since September 15, 2026
213 2ND AVE NE, ROLLA, ND 58367(701) 477-3161(701) 477-5564 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Karly Jo Kennelly NPPES

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

KARLY JO KENNELLY (NPI 1093626269) is an individual psychiatric/mental health provider in Rolla, North Dakota, licensed in North Dakota (205939) and active in the NPI registry since September 2026. She maintains a secondary practice location in Bottineau.

NPPES Registry Identity

NPI1093626269
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKARLY JO KENNELLY
Location Address213 2ND AVE NERolla, ND 58367-7153
Mailing AddressPo Box 31Saint Thomas, ND 58276-0031 · (701) 520-9305
Phone(701) 477-3161
Fax(701) 477-5564
Sole ProprietorNo
Enumeration DateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1093626269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ND · 205939
213 2ND AVE NE, Rolla, ND 58367
Open in Google Maps ↗

Secondary Practice Location 1

Location 1316 Ohmer StBottineau, ND 58318-1045 · Phone (701) 228-9300 · Fax (701) 228-9384

Other Providers at the Same Location NPPES 12

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

BENJAMIN BUCHER FNP-BC
Nurse Practitioner (Family)
213 2ND AVE NE
ROLLA, ND 58367
Rolette County (701) 477-3161
RACHELLE LONG FISCHER FNP
Nurse Practitioner (Family)
213 2ND AVE NE
ROLLA, ND 58367
Rolette County (701) 477-3161
PRESENTATION MEDICAL CENTER
General Acute Care Hospital (Critical Access)
213 2ND AVE NE
ROLLA, ND 58367
Rolette County (701) 477-3161
PRESENTATION MEDICAL CENTER
Clinic/Center (Rural Health)
213 2ND AVE NE
ROLLA, ND 58367
Rolette County (701) 477-3161
DR. JOHN MARK ANDREW GINGERICH MD
Family Medicine
213 2ND AVE NE
ROLLA, ND 58367
Rolette County (701) 477-3161
AUSTEN BOUCHER
Pharmacist
213 2ND AVE NE
ROLLA, ND 58367
Rolette County (701) 477-3161
PAMELA KALEVA
Pharmacist
213 2ND AVE NE
ROLLA, ND 58367
Rolette County (701) 477-3161
PRESENTATION MEDICAL CENTER
Medicare Defined Swing Bed Unit
213 2ND AVE NE
ROLLA, ND 58367
Rolette County (701) 477-3161

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 Karly Kennelly's NPI number?

The NPI number for Karly Kennelly is 1093626269. It was assigned to this individual provider in the NPPES registry on September 15, 2026.

Where is Karly Kennelly located?

Karly Kennelly practices at 213 2nd Ave NE, Rolla, ND 58367. The listed phone number is (701) 477-3161.

What is Karly Kennelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Karly Kennelly was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.