Individual provider · Type 1 NPI

Naphaphone Kathy Kethdy, APRN, CNP

Nurse Practitioner · Chicago, IL

NPI number 1316734866 Active

Practice location

676 N Saint Clair St Ste 1900
Chicago, IL 60611-2986

Mailing address

676 N Saint Clair St Fl 19
Chicago, IL 60611-2927

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X209032474 (IL)
Nurse Practitioner Primary 363L00000X209032474 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316734866

Naphaphone Kathy Kethdy, APRN, CNP's National Provider Identifier is 1316734866, issued on Apr 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 17, 2025.