Mrs Kellie Rae Kroll, CPNP-PC - Nurse Practitioner in Westland, MI

Mrs Kellie Rae Kroll, CPNP-PC is a Nurse Practitioner based in Westland, Michigan. Mrs Kellie Rae Kroll is licensed to practice in Michigan (license number 4704294238NSA2001Q) and her current practice location is 8623 N Wayne Rd Ste 123, Westland, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 367-0469.

NPI number for Mrs Kellie Rae Kroll is 1083296834 and her current mailing address is 1992 Wiltshire Rd, Berkley, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083296834.

Contact Information

Mrs Kellie Rae Kroll, CPNP-PC
8623 N Wayne Rd Ste 123,
Westland, MI 48185-1137
(734) 367-0469
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kellie Rae Kroll
GenderFemale
SpecialityNurse Practitioner
Location8623 N Wayne Rd Ste 123, Westland, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083296834
  • Provider Enumeration Date: 04/22/2021
  • Last Update Date: 04/22/2021

Medical Identifiers

Medical identifiers for Mrs Kellie Rae Kroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083296834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704294238NSA2001Q (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kellie Rae Kroll is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kellie Rae Kroll, CPNP-PC
1992 Wiltshire Rd,
Berkley, MI 48072-3313

Ph: (248) 320-4828
Mrs Kellie Rae Kroll, CPNP-PC
8623 N Wayne Rd Ste 123,
Westland, MI 48185-1137

Ph: (734) 367-0469

Reviews and Comments


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