KETTLY RICHARD, FNP

Nurse Practitioner - Family

Active Individual
NPI: 1932476108

Practice Address

2664 HANSEN PL
Baldwin, NY 11510

Phone: (516) 208-9472

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes F337017-1 (NY)

Frequently Asked Questions

NPI 1932476108 is the National Provider Identifier for KETTLY RICHARD, FNP, a Nurse Practitioner - Family provider located in Baldwin, NY. This NPI was enumerated on November 16, 2011.
KETTLY RICHARD, FNP practices at 2664 HANSEN PL, Baldwin, NY 11510.

Quick Facts

NPI
1932476108
Type
Individual
Enumerated
Nov 16, 2011
Last Updated
Nov 16, 2011

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