What is Kelley Illis's NPI number?

Kelley Illis's National Provider Identifier (NPI) is 1114317773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelley Illis's specialty?

Kelley Illis is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Kelley Illis located?

Kelley Illis's practice location on file with NPPES is 522 S Maple Rd, Ann Arbor, MI 48103-3837.

What is Kelley Illis's phone number?

The practice phone number listed in the NPPES registry for Kelley Illis is (734) 585-7958.

Is Kelley Illis's NPI active?

Yes — Kelley Illis's NPI (1114317773) is active in the NPPES registry as of the last update on 2015-02-03.

IndividualActive

Kelley Illis, RN

NPI 1114317773 · Registered Nurse · Ann Arbor, MI

Kelley Illis, RN is a Registered Nurse provider in Ann Arbor, MI (NPI 1114317773).

Provider details

NPI number: 1114317773
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: 4704308851 (MI)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 4704308851 (MI)
Nursing Service Providers

Profile Score

Established profile(74/100 index)

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

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% 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.

Practice location

522 S Maple Rd

Ann Arbor, MI 48103-3837

Phone: (734) 585-7958

Street-level locationGet directions

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Mailing address