What is Kelly Detherage's NPI number?

Kelly Detherage's National Provider Identifier (NPI) is 1497167845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Detherage's specialty?

Kelly Detherage is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Kelly Detherage located?

Kelly Detherage's practice location on file with NPPES is 601 W Michigan St, Orlando, FL 32805-6203.

What is Kelly Detherage's phone number?

The practice phone number listed in the NPPES registry for Kelly Detherage is (407) 317-7430.

Is Kelly Detherage's NPI active?

Yes — Kelly Detherage's NPI (1497167845) is active in the NPPES registry as of the last update on 2014-10-16.

IndividualActive

Kelly Detherage

NPI 1497167845 · Case Manager/Care Coordinator · Orlando, FL

Kelly Detherage is a Case Manager/Care Coordinator provider in Orlando, FL (NPI 1497167845).

Provider details

NPI number: 1497167845
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Established profile(69/100 index)

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

Registry tenure38% of score
12 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.

Practice location

601 W Michigan St

Orlando, FL 32805-6203

Phone: (407) 317-7430

Fax: (407) 648-4150

Street-level locationGet directions

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Mailing address