Individual provider · Type 1 NPI

Ketly Itacy

Licensed Practical Nurse · Brooklyn, NY

NPI number 1063735579 Active

Practice location

960 Sterling Pl Apt 2L
Brooklyn, NY 11213-2523

Call (646) 201-3931 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X299478 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1063735579

Ketly Itacy's National Provider Identifier is 1063735579, issued on Mar 11, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 11, 2010.