KELLY EVERDEN CPNP
NPI 1629141999
Nurse Practitioner - Pediatrics in Pontiac, MI

Active since November 16, 2006
1051 ARLENE AVE, PONTIAC, MI 48340(248) 451-7365(248) 451-7370 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Everden Cpnp NPPES

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

KELLY EVERDEN CPNP (NPI 1629141999) is an individual pediatrics provider in Pontiac, Michigan, licensed in Michigan (4704213499) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1629141999
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY EVERDENCredential: CPNP
Location Address1051 ARLENE AVEPontiac, MI 48340-2904
Mailing Address46 N Saginaw St, Oakland Primary Health ServicesPontiac, MI 48342-2155 · (248) 322-6747 · Fax (248) 322-5787
Fax(248) 451-7370
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 30, 2011
NPI 1629141999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MI · 4704213499
1051 ARLENE AVE, Pontiac, MI 48340

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1051 ARLENE AVE
PONTIAC, MI 48340
Counselor (Professional)
1051 ARLENE AVE
PONTIAC, MI 48340
Social Worker
1051 ARLENE AVE
PONTIAC, MI 48340
Clinic/Center (Federally Qualified Health Center (FQHC))
1051 ARLENE AVE
PONTIAC, MI 48340

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 Kelly Everden's NPI number?

The NPI number for Kelly Everden is 1629141999. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Kelly Everden located?

Kelly Everden practices at 1051 Arlene Ave, Pontiac, MI 48340. The listed phone number is (248) 451-7365.

What is Kelly Everden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kelly Everden was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.