Individual provider · Type 1 NPI

Kellie Rae Kroll, CPNP-PC

Nurse Practitioner · Westland, MI

NPI number 1083296834 Active

Practice location

8623 N Wayne Rd Ste 123
Westland, MI 48185-1137

Mailing address

1992 Wiltshire Rd
Berkley, MI 48072-3313

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704294238NSA2001Q (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083296834

Kellie Rae Kroll, CPNP-PC's National Provider Identifier is 1083296834, issued on Apr 22, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Westland, MI. The record was last updated on Apr 22, 2021.