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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KETLY ITACY

Active

KETLY ITACY is a Licensed Practical Nurse healthcare provider located in BROOKLYN, New York. NPI 1063735579 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BROOKLYN, NY

Registration Details

NPI Number
1063735579
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2010 (16.402246076353 yrs)
Last Updated
Mar 11, 2010
License
299478 (NY)

Practice Information

Address
960 STERLING PL APT 2L
BROOKLYN, NY, 112132523
Browse NY providers · Browse ZIP 11213
Phone
6462013931
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BROOKLYN, NY

Name Credential NPI
MS. JOAN VORDERBRUGGEN LPN 1538159850
MISS KATIUSCIA VOLCY LPN 1316025042
LORY QUIDILLA NP 1124191853
MRS. PATRICIA MORGAN LPN 1699823856
CAROLINE GRIFFITH LPN 1811023385
KEISHA YEARWOOD LPN 1174659650
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.