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

MISS KETTLY DERIVAL, RN

Active Sole Proprietor

MISS KETTLY DERIVAL, RN is a Registered Nurse healthcare provider located in NORTH BALDWIN, New York. NPI 1497903306 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · NORTH BALDWIN, NY

Registration Details

NPI Number
1497903306
Provider Type
Individual
Gender
Female
NPI Issued
Sep 4, 2008 (17.954524443179 yrs)
Last Updated
Sep 4, 2008
License
573255 (NY)
Sole Proprietor
Yes

Practice Information

Address
927 DE MOTT AVE
NORTH BALDWIN, NY, 115101926
Browse NY providers · Browse ZIP 11510
Phone
5162045518
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in NORTH BALDWIN, NY

Name Credential NPI
MS. O. PATRICIA BUCKRIDGE RN 1386842524
MRS. HILDA PEARSON RN 1114109097
MRS. LISA SIMONE CATLIN RN 1760664577
ELIZABETH EYUBEH 1417184938
JEAN R CHERY 1912134776
ROXANNE WILLIAMS RN 1841515038
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.