KETTLYNE STCYR NPI 1427529759

NPI Information

  • NPI: 1427529759
  • Provider Name: KETTLYNE STCYR
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4641 SW 41ST ST
    WEST PARK, FL
    ZIP 33023
  • Phone: (786) 262-7450

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NPI Details

Kettlyne Stcyr is a family nurse practitioner in West Park, FL with 1 years of experience. Kettlyne Stcyr NPI is 1427529759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4641 SW 41ST ST
WEST PARK, FL
ZIP 33023-530
Phone: (786) 262-7450

The NPI 1427529759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 1/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health79197IDAHONo
2363LF0000XNurse PractitionerFamilyAPRN11000307FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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