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

KETTIA NOEL

Active Sole Proprietor

KETTIA NOEL is a Developmental Disabilities Clinic healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1891395430 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · PORT SAINT LUCIE, FL

Registration Details

NPI Number
1891395430
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2020 (5.8000204025561 yrs)
Last Updated
Mar 4, 2026
Licenses
237322 (FL)
L20000294693 (FL)
Sole Proprietor
Yes

Practice Information

Address
1573 SE CLEARBROOK ST
PORT SAINT LUCIE, FL, 349834050
Browse FL providers · Browse ZIP 34983
Phone
5615033273
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
Additional Specialty
Adult Companion

Other Developmental Disabilities Clinic Providers in PORT SAINT LUCIE, FL

Name Credential NPI
MALLISSA NEWTON 1427561463
JOY BLAKESLEE MA, WSC 1003322132
DONNA SHIPES 1497262679
GOOSMAN SAINTIL 1437790060
BORGELINE MARIE JINA VILFORT 1184236911
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.