Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Conrad Joseph Kelly

Individual provider Registered Nurse · NPI 1437672516

Conrad Joseph Kelly is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2017, 9 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704293196 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704293196 (MI)

Record details

NPI number1437672516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 20, 2017
Last updated in NPPESJuly 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Detroit