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

Shannon Kelley

Individual provider Case Management Agency · NPI 1639537913

Shannon Kelley is a Case Management Agency in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

3111 Grand River Ave
Detroit, MI 48208-2962
Phone: (313) 557-8669
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1639537913
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 2, 2016
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

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