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

Kimi Marie Kelly, OT

Individual provider Occupational Therapist · NPI 1346428414

Kimi Marie Kelly, OT is an Occupational Therapist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2661 S Broadway
Green Bay, WI 54304-5305
Phone: (920) 592-5262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 383026 (WI)
Occupational Therapist Taxonomy 225X00000X · Licence 838-26 (WI)

Record details

NPI number1346428414
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJanuary 31, 2008
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

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