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

MS. Kyra Monique Shively

Individual provider Registered Nurse · NPI 1295249415

MS. Kyra Monique Shively is a Registered Nurse in Traverse City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3205 Supply Rd
Traverse City, MI 49696-9486
Phone: (231) 935-1070
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704339826 (MI)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 4703119005 (MI)

Record details

NPI number1295249415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2017
Last updated in NPPESOctober 1, 2018

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