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
Health care specialties
Specialty | Code | License # | 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 6 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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