What is Kelly Scanlon's NPI number?

Kelly Scanlon's National Provider Identifier (NPI) is 1104067073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Scanlon's specialty?

Kelly Scanlon is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).

Where is Kelly Scanlon located?

Kelly Scanlon's practice location on file with NPPES is 1344 Beaverbrook Dr, Holly, MI 48442-8628.

What is Kelly Scanlon's phone number?

The practice phone number listed in the NPPES registry for Kelly Scanlon is (248) 634-3014.

Is Kelly Scanlon's NPI active?

Yes — Kelly Scanlon's NPI (1104067073) is active in the NPPES registry as of the last update on 2009-03-23.

IndividualActive

Kelly Scanlon, C.N (INTERN STUDENT)

NPI 1104067073 · Nutritionist · Holly, MI

Kelly Scanlon, C.N (INTERN STUDENT) is a Nutritionist provider in Holly, MI (NPI 1104067073).

Provider details

NPI number: 1104067073
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Credential: C.N (INTERN STUDENT)
Sex: Female
Sole proprietor: Yes

Practice location

1344 Beaverbrook Dr

Holly, MI 48442-8628

Phone: (248) 634-3014

Street-level locationGet directions

More MI providers

Mailing address

1344 Beaverbrook Dr

Holly, MI 48442-8628

Specialties & taxonomies

NutritionistPrimary133N00000X
Dietary & Nutritional Service Providers

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2009-03-23
Last updated: 2009-03-23

Frequently asked questions

What is Kelly Scanlon's NPI number?: Kelly Scanlon's National Provider Identifier (NPI) is 1104067073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Kelly Scanlon's specialty?: Kelly Scanlon is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).
Where is Kelly Scanlon located?: Kelly Scanlon's practice location on file with NPPES is 1344 Beaverbrook Dr, Holly, MI 48442-8628.
What is Kelly Scanlon's phone number?: The practice phone number listed in the NPPES registry for Kelly Scanlon is (248) 634-3014.
Is Kelly Scanlon's NPI active?: Yes — Kelly Scanlon's NPI (1104067073) is active in the NPPES registry as of the last update on 2009-03-23.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions