KATHLEEN D. PETTIT RN
NPI 1063602233
Registered Nurse - Case Management in Orlando, FL

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.

Active since July 25, 2007

7040 LAKE ELLENOR DR, ORLANDO, FL 32809(407) 856-6519(407) 856-6594 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kathleen D. Pettit Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN D. PETTIT RN (NPI 1063602233) is an individual case management provider in Orlando, Florida, licensed in Florida (RN2523362) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1063602233

Entity TypeIndividualFemale

Primary Taxonomy163WC0400X

Provider Legal NameKATHLEEN D. PETTITCredential: RN

Location Address7040 LAKE ELLENOR DROrlando, FL 32809-5750

Mailing Address7040 Lake Ellenor DrOrlando, FL 32809-5750 · (407) 856-6519 · Fax (407) 856-6594

Phone(407) 856-6519

Fax(407) 856-6594

Sole ProprietorNo

Enumeration DateJuly 25, 2007

✔ NPI 1063602233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers

Taxonomy Code163WC0400X

License✔ Licensed in FL · RN2523362

7040 LAKE ELLENOR DR, Orlando, FL 32809

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE A MASUDA MSW

Social Worker