Individual provider · Type 1 NPI
Kettelene Paul, NURSE PRACTITIONER
Family Nurse Practitioner · Lady Lake, FL
NPI number
1760303689
Active
Practice location
309 Woods Landing Dr
Lady Lake, FL 32159-4307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11037272 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1760303689
Kettelene Paul, NURSE PRACTITIONER's National Provider Identifier is 1760303689, issued on Jul 24, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lady Lake, FL. The record was last updated on Jul 24, 2026.