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

Tina McKellery

Individual provider Other Technician · NPI 1063869865

Tina McKellery is an Other Technician in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

19932 Blackstone St
Detroit, MI 48219-1313
Phone: (313) 538-5170
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X (MI)

Record details

NPI number1063869865
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2016
Last updated in NPPESMay 21, 2016
Mailing address19932 Blackstone St, Detroit, MI 48219-1313

Other providers in Detroit