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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BONITA MARIE KELM
NPI 1760386197
Student in an Organized Health Care Education/Training Program in Ethridge, TN

Active since October 07, 2026
170 KASEN LN, ETHRIDGE, TN 38456(731) 458-7046(731) 458-7046 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Bonita Marie Kelm NPPES

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

BONITA MARIE KELM (NPI 1760386197) is an individual student in an organized health care education/training program in Ethridge, Tennessee, licensed in Tennessee (271296) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1760386197
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBONITA MARIE KELM
Location Address170 KASEN LNEthridge, TN 38456-3001
Mailing Address170 Kasen LnEthridge, TN 38456-3001
Phone(731) 458-7046
Fax(731) 458-7046
Sole ProprietorNo
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1760386197 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 TN · 271296
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.
170 KASEN LN, Ethridge, TN 38456
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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 Bonita Kelm's NPI number?

The NPI number for Bonita Kelm is 1760386197. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Where is Bonita Kelm located?

Bonita Kelm practices at 170 Kasen Ln, Ethridge, TN 38456. The listed phone number is (731) 458-7046.

What is Bonita Kelm'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 Bonita Kelm was last updated on October 7, 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.