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

Kenndal Soto, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1093317133

Kenndal Soto, AGACNP-BC is a Nurse Practitioner in Detroit, Michigan. Graduated from University of Michigan Medical School in 2021, 5 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
5
Trained at
University of Michigan Medical School
Licensed in
MI, OH
In the registry since
2020
Specialties on file
4
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 876-1305
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 730 N Macomb St Ste 228, Monroe, MI 48162 — (734) 457-5580
  • 8669 Maurice, Newport, MI 48166-9408 — (734) 770-4035
  • 2940 N McCord Rd, Toledo, OH 43615 — (419) 842-3000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704299368 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0028440 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704299368 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN.CNP.0028440 (OH)

Record details

NPI number1093317133
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedNovember 13, 2020
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Detroit