NPI 1639537913

Shannon Kelley

Practitioner Day Training/Habilitation Specialist Detroit, MI

Practice location

Address: 3111 Grand River Ave, Detroit, MI 48208-2962
Phone: (313) 557-8669

Registered specialties (2)

Day Training/Habilitation Specialist Primary

Nursing Service Related Providers Taxonomy 373H00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1639537913
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2016
Record last updated: 13 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.