Kim Nan Kelley, OTRL
NPI 1679631899ActiveIndividual· Specialist· Minnetonka, MN
Specialist (OTRL) in Minnetonka, Minnesota, licensed in MN, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1679631899 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTRL |
| Sole proprietor | No |
| NPI issued | Dec 4, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 102295 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MN) |
|---|
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