KENDRA KELLY
NPI 1700684552
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since March 06, 2025
2013 EASTCASTLE DR SE STE B, GRAND RAPIDS, MI 49508(616) 888-1120 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Mar 6, 2025 (2 updates tracked since 2025).

About Kendra Kelly NPPES

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

KENDRA KELLY (NPI 1700684552) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1700684552
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENDRA KELLY
Location Address2013 EASTCASTLE DR SE STE BGrand Rapids, MI 49508-8873
Mailing Address2013 Eastcastle Dr Se Ste BGrand Rapids, MI 49508-8873 · (616) 888-1120
Sole ProprietorNo
Enumeration DateMarch 6, 2025
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1700684552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2013 EASTCASTLE DR SE STE B, Grand Rapids, MI 49508

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.

Counselor (Mental Health)
2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI 49508
Student in an Organized Health Care Education/Training Program
2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI 49508
Counselor
2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI 49508
Student in an Organized Health Care Education/Training Program
2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI 49508
Psychologist (Counseling)
2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI 49508
Psychologist
2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI 49508
Student in an Organized Health Care Education/Training Program
2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI 49508
Student in an Organized Health Care Education/Training Program
2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI 49508

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 Kendra Kelly's NPI number?

The NPI number for Kendra Kelly is 1700684552. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Kendra Kelly located?

Kendra Kelly practices at 2013 Eastcastle Dr SE Ste B, Grand Rapids, MI 49508. The listed phone number is (616) 888-1120.

What is Kendra Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Kendra Kelly was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.