KAYLEE KIILANI FERNANDEZ RN
NPI 1104502350
Registered Nurse - Home Health in Manitowoc, WI
Active since June 23, 2023
About Kaylee Kiilani Fernandez Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLEE KIILANI FERNANDEZ RN (NPI 1104502350) is an individual home health provider in Manitowoc, Wisconsin, licensed in Wisconsin (1106285) and active in the NPI registry since June 2023.
NPPES Registry Identity
NPI1104502350
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameKAYLEE KIILANI FERNANDEZCredential: RN
Location Address318 UNION PLManitowoc, WI 54220-3753
Mailing Address318 Union PlManitowoc, WI 54220-3753 · (715) 467-1582
Phone(715) 467-1582
Sole ProprietorYes
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1104502350 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in WI · 1106285
318 UNION PL, Manitowoc, WI 54220
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104502350, enumerated as an "individual" on June 23, 2023.
The provider is located at 318 UNION PL MANITOWOC, WI 54220 and the phone number is (715) 467-1582.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.
