Individual provider · Type 1 NPI

Kelvin Dewayne Roden-Smith, NP

Acute Care Nurse Practitioner · Wyandotte, MI

NPI number 1669613220 Active

Practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Mailing address

1640 Fort St, Suite D Attn Denise
Trenton, MI 48183-2040

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704226230 (MI)
Nurse Practitioner 363L00000X4704226230 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1669613220

Kelvin Dewayne Roden-Smith, NP's National Provider Identifier is 1669613220, issued on Mar 11, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Wyandotte, MI. The record was last updated on May 1, 2025.