KENNA MACKENZIE CLEMENTS
NPI 1962106583
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Q: What is Kenna Clements's NPI number?

The NPI number for Kenna Clements is 1962106583. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Kenna Clements's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenna Clements was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 28, 2023PECOS Enrolled

5333 MCAULEY DR RM 2110, YPSILANTI, MI 48197(734) 712-3967 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenna Mackenzie Clements NPPES

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

KENNA MACKENZIE CLEMENTS (NPI 1962106583) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962106583

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKENNA MACKENZIE CLEMENTS

Location Address5333 MCAULEY DR RM 2110Ypsilanti, MI 48197-1097

Mailing Address4291 Homestead DrHowell, MI 48843-9454

Phone(734) 712-3967

Sole ProprietorYes

Enumeration DateMarch 28, 2023

NPPES CertifiedMarch 28, 2023

✔ NPI 1962106583 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.

5333 MCAULEY DR RM 2110, Ypsilanti, MI 48197

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenna Mackenzie Clements 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.

KATHARINE MICALLEF D.O.

Obstetrics & Gynecology