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

Q: What is Kiley Flynn-taylor's NPI number?

The NPI number for Kiley Flynn-taylor is 1912709288. It was assigned to this individual provider in the NPPES registry on March 26, 2025. The provider is also known as Kiley Marie Flynn Do.

Q: What is Kiley Flynn-taylor's specialty?

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

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: August 30, 2026.

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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

Phone(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

★ 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.

205 N EAST AVE, Jackson, MI 49201

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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.

SAMANTHA RENE DANEK PA-C

Physician Assistant