KATELYN ALYSSA KERR MD
NPI 1629828314
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Katelyn Kerr's NPI number?

The NPI number for Katelyn Kerr is 1629828314. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Katelyn Kerr's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Kerr was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 25, 2024PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Katelyn Alyssa Kerr Md NPPES

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

KATELYN ALYSSA KERR MD (NPI 1629828314) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629828314

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATELYN ALYSSA KERRCredential: MD

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address22101 Moross RdDetroit, MI 48236-2148 · (313) 343-4000

Phone(313) 343-4000

Sole ProprietorNo

Enumeration DateMarch 25, 2024

Last NPPES UpdateApril 9, 2025

NPPES CertifiedApril 9, 2025

✔ NPI 1629828314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22101 MOROSS RD, Detroit, MI 48236

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Alyssa Kerr Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)