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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KELLY K WIETECHA CNP
NPI 1982642054
Nurse Practitioner - Adult Health in Detroit, MI

Active since June 02, 2006
HARPER PROFESSIONAL BLDG STE 1007, 4160 JOHN R, DETROIT, MI 48201(313) 745-4525 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly K Wietecha Cnp NPPES

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

KELLY K WIETECHA CNP (NPI 1982642054) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (4704176683) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1982642054
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELLY K WIETECHACredential: CNP
Location AddressHARPER PROFESSIONAL BLDG STE 1007, 4160 JOHN RDetroit, MI 48201
Mailing Address3800 Woodward Ave, Suite 702Detroit, MI 48201-2061
Phone(313) 745-4525
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1982642054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704176683
HARPER PROFESSIONAL BLDG STE 1007, Detroit, MI 48201
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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 Kelly Wietecha's NPI number?

The NPI number for Kelly Wietecha is 1982642054. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Kelly Wietecha located?

Kelly Wietecha practices at Harper Professional Bldg Ste 1007 4160 John R, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is Kelly Wietecha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kelly Wietecha was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.