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

Katelyn Khemmoro

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558232454

Katelyn Khemmoro is a Student in an Organized Health Care Education/Training Program in Walled Lake, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2926 Montgomery Cir
Walled Lake, MI 48390-3605
Phone: (248) 762-3297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558232454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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