Individual provider · Type 1 NPI
Kelley Kummer, MSN, RN, PMHNP-BC
Psychiatric/Mental Health Registered Nurse · Southfield, MI
NPI number
1508649559
Active
Practice location
22170 W 9 Mile Rd
Southfield, MI 48033-6007
Fax (248) 355-1402
Mailing address
PO Box 263
Hazel Park, MI 48030-0263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2026038460 (MI) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 4704406880 (MI) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1508649559
Kelley Kummer, MSN, RN, PMHNP-BC's National Provider Identifier is 1508649559, issued on Aug 15, 2023. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Southfield, MI. The record was last updated on Sep 25, 2026.