Cazaubon, Kettly

Cazaubon, Kettly is an sole proprietor health care provider with primary practice located at 567 Miller Ave , Freeport NY 11520-6310. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cazaubon, Kettly can be contacted via phone (917) 548-8917.

Contact Information

Primary practice address
567 Miller Ave Freeport NY 11520-6310
Phone: (917) 548-8917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 405633 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 345151 New York

Profile Details

NPI number 1912549049
LBN Legal business name Cazaubon, Kettly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2019
Last updated Mar 15th, 2024 - about 8 months 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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