Richard, Kettly
Richard, Kettly is an sole proprietor health care provider with primary practice located at 2664 Hansen Pl , Baldwin NY 11510-4137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Richard, Kettly can be contacted via phone (516) 208-9472.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F337017-1 | New York |
Profile Details
| NPI number | 1932476108 |
|---|---|
| LBN Legal business name | Richard, Kettly |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2011 |
| Last updated | Nov 16th, 2011 - about 15 years ago |
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.
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