Individual provider · Type 1 NPI

Kenyetta Kelly

Student in an Organized Health Care Education/Training Program · Deerfield Beach, FL

NPI number 1083545545 Active

Practice location

595 Jefferson Dr Unit 110
Deerfield Beach, FL 33442-9437

Call (954) 218-3598 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1083545545

Kenyetta Kelly's National Provider Identifier is 1083545545, issued on May 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Deerfield Beach, FL. The record was last updated on May 26, 2026.