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

Kelly Fornwalt

Individual provider Social Worker · NPI 1174821938

Kelly Fornwalt is a Social Worker in Plymouth, Michigan. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

271 S Main St
Plymouth, MI 48170-1637
Phone: (734) 455-4095
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1174821938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2011
Last updated in NPPESMarch 3, 2011

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