1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SERENA LEIGH KELLEY
NPI 1710494042
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since January 09, 2018
107 DIAMOND AVE SE APT 1, GRAND RAPIDS, MI 49506(812) 603-2309 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serena Leigh Kelley NPPES

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

SERENA LEIGH KELLEY (NPI 1710494042) is an individual student in an organized health care education/training program in Grand Rapids, Michigan, licensed in Michigan (5302043816) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1710494042
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSERENA LEIGH KELLEY
Location Address107 DIAMOND AVE SE APT 1Grand Rapids, MI 49506-1407
Mailing Address107 Diamond Ave Se Apt 1Grand Rapids, MI 49506-1407 · (812) 603-2309
Phone(812) 603-2309
Sole ProprietorNo
Enumeration DateJanuary 9, 2018
✔ NPI 1710494042 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
License✔ Licensed in MI · 5302043816
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.
107 DIAMOND AVE SE APT 1, Grand Rapids, MI 49506
Open in Google Maps ↗

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 Serena Kelley's NPI number?

The NPI number for Serena Kelley is 1710494042. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Serena Kelley located?

Serena Kelley practices at 107 Diamond Ave SE Apt 1, Grand Rapids, MI 49506. The listed phone number is (812) 603-2309.

What is Serena Kelley'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 Serena Kelley was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.