KILEY MARIE FLYNN-TAYLOR DO
NPI 1912709288
Student in an Organized Health Care Education/Training Program in Jackson, MI

Active since March 26, 2025PECOS Enrolled
205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kiley Marie Flynn-taylor Do NPPES

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

KILEY MARIE FLYNN-TAYLOR DO (NPI 1912709288) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912709288
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKILEY MARIE FLYNN-TAYLORCredential: DO
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 205-4800
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
NPI 1912709288 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.

205 N EAST AVE, Jackson, MI 49201

Other Names 1

Former Name (1)Kiley Marie Flynn Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kiley Marie Flynn-taylor Do 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.

Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Psychiatry & Neurology (Psychiatry)
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Internal Medicine (Pulmonary Disease)
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912709288, enumerated as an "individual" on March 26, 2025.

The provider is located at 205 N EAST AVE JACKSON, MI 49201 and the phone number is (517) 205-4800.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.