Individual provider · Type 1 NPI

Kieran Tully

Registered Nurse · Hollywood, FL

NPI number 1497673602 Active

Practice location

309 N 21st Ave
Hollywood, FL 33020-4537

Call (305) 899-3000 Map

Mailing address

9952 Robins Nest Rd
Boca Raton, FL 33496-2101

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X9506488 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1497673602

Kieran Tully's National Provider Identifier is 1497673602, issued on Jul 7, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hollywood, FL. The record was last updated on Jul 7, 2026.