KETTLY RICHARD FNP
NPI 1932476108
Nurse Practitioner - Family in Baldwin, NY

Q: What is Kettly Richard's NPI number?

The NPI number for Kettly Richard is 1932476108. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Q: What is Kettly Richard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kettly Richard was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2011

2664 HANSEN PL, BALDWIN, NY 11510(516) 208-9472 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kettly Richard Fnp NPPES

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

KETTLY RICHARD FNP (NPI 1932476108) is an individual family provider in Baldwin, New York, licensed in New York (F337017-1) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1932476108

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKETTLY RICHARDCredential: FNP

Location Address2664 HANSEN PLBaldwin, NY 11510-4137

Mailing Address2664 Hansen PlBaldwin, NY 11510-4137 · (516) 208-9472

Phone(516) 208-9472

Sole ProprietorYes

Enumeration DateNovember 16, 2011

✔ NPI 1932476108 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 NY · F337017-1

2664 HANSEN PL, Baldwin, NY 11510

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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 Kettly Richard's NPI number?

The NPI number for Kettly Richard is 1932476108. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Where is Kettly Richard located?

Kettly Richard practices at 2664 Hansen Pl, Baldwin, NY 11510. The listed phone number is (516) 208-9472.

What is Kettly Richard'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 Kettly Richard was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.