Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KALLY ANN PETKA, FNP
ActiveMS. KALLY ANN PETKA, FNP is a Family Nurse Practitioner healthcare provider located in SOUTHBRIDGE, Massachusetts. NPI 1548892326 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · SOUTHBRIDGE, MA
Registration Details
- NPI Number
- 1548892326
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2020 (6.3256845347534 yrs)
- Last Updated
- Jan 30, 2025
- Licenses
-
RN2277628 (MA)RN2277628 (MA)
Practice Information
- Address
-
100 SOUTH STSOUTHBRIDGE, MA, 015504051Browse MA providers · Browse ZIP 01550
- Phone
- 5087659771
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in SOUTHBRIDGE, MA
| Name | Credential | NPI |
|---|---|---|
| MS. MARGARET ROSE POOLE | ARNP, FNP-BC | 1932165719 |
| EILEEN MARIE KANE | FNP | 1700062262 |
| TIA OH | NP | 1699054056 |
| ALEXANDR KLEYNERMAN | — | 1669889861 |
| ERIN DASHNAW | FNP | 1235680513 |
| ARIEL JANE BULLOCK | APRN | 1205388915 |
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.