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

Individual provider Registered Dietitian · NPI 1508511122

Kelli Cierra Wall, RDN is a Registered Dietitian OR Nutrition Professional in Detroit, Michigan. Qualified in 2021, 5 years ago. Practices with Detroit Community Health Connection Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

13901 E Jefferson Ave
Detroit, MI 48215-2720
Phone: (313) 821-2591
Fax: (313) 822-0950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86044997 (MI)

Record details

NPI number1508511122
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedFebruary 14, 2022
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Detroit Community Health Connection Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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