Derival, Kettly

Derival, Kettly is an sole proprietor health care provider with primary practice located at 927 De Mott Ave , North Baldwin NY 11510-1926. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Derival, Kettly can be contacted via phone (516) 204-5518.

Contact Information

Primary practice address
927 De Mott Ave North Baldwin NY 11510-1926
Phone: (516) 204-5518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 573255 New York

Profile Details

NPI number 1497903306
LBN Legal business name Derival, Kettly
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2008
Last updated Sep 4th, 2008 - about 16 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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