Maurice, Ketty
Maurice, Ketty is an sole proprietor health care provider with primary practice located at 636 Del Prado Blvd , Cape Coral FL 33990-2695. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Maurice, Ketty can be contacted via phone (239) 424-3123.Contact Information
Primary practice address
636 Del Prado Blvd
Cape Coral FL 33990-2695
Phone: (239) 424-3123
Fax: (239) 424-4041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO.2613 | Alabama |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04090 | Kentucky |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 2022-02636 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS8053 | Florida |
Profile Details
| NPI number | 1053368043 |
|---|---|
| LBN Legal business name | Maurice, Ketty |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Aug 27th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053368043 | NPPES |
| Florida | MEDICAID | 26036830 |
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