Individual provider · Type 1 NPI

Kaitlynn Vestal

Licensed Practical Nurse · Medford, NY

NPI number 1619801677 Active

Practice location

125 Evergreen Ave
Medford, NY 11763-4029

Call (631) 219-4524 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X354967 (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 1619801677

Kaitlynn Vestal's National Provider Identifier is 1619801677, issued on Jun 12, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Jun 12, 2026.