Individual provider · Type 1 NPI

Kelly K. Wietecha, CNP

Adult Health Nurse Practitioner · Detroit, MI

NPI number 1982642054 Active

About NPI 1982642054

Kelly K. Wietecha, CNP's National Provider Identifier is 1982642054, issued on Jun 2, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Jul 13, 2026.