Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KETTELENE PAUL NURSE PRACTITIONER
NPI 1760303689
Nurse Practitioner - Family in Lady Lake, FL

Active since July 24, 2026
309 WOODS LANDING DR, LADY LAKE, FL 32159(786) 286-0717 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kettelene Paul Nurse Practitioner NPPES

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

KETTELENE PAUL NURSE PRACTITIONER (NPI 1760303689) is an individual family provider in Lady Lake, Florida, licensed in Florida (11037272) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1760303689
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKETTELENE PAULCredential: NURSE PRACTITIONER
Location Address309 WOODS LANDING DRLady Lake, FL 32159-4307
Mailing Address309 Woods Landing DrLady Lake, FL 32159-4307
Sole ProprietorNo
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
NPI 1760303689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 11037272
309 WOODS LANDING DR, Lady Lake, FL 32159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettelene Paul's NPI number?

The NPI number for Kettelene Paul is 1760303689. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Where is Kettelene Paul located?

Kettelene Paul practices at 309 Woods Landing Dr, Lady Lake, FL 32159. The listed phone number is (786) 286-0717.

What is Kettelene Paul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kettelene Paul was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.