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Dora Mae Kittles
Licensed Practical Nurse in Wyandanch, New York
NPI 1528610144

Dora Mae Kittles is a Licensed Practical Nurse based in Wyandanch, NY. Dora Mae Kittles practices in Wyandanch, NY. The NPI Number for Dora Mae Kittles is 1528610144 and holds a License No. 335440 (New York).

The current practice location address for Dora Mae Kittles is 62 E Booker Ave, Wyandanch, NY and can be reached out via phone at 631-306-6249.

Location: 62 E Booker Ave, Wyandanch, NY, 11798-4503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528610144
Provider Name
Dora Mae Kittles
Credential
Provider Entity Type
Individual
Gender
Female
Address
62 E Booker Ave, Wyandanch, NY, 11798-4503
Phone Number
631-306-6249
Fax Number
Provider Enumeration Date
07/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
62 E Booker Ave
City
Wyandanch
State
New York
Zip
11798-4503
Phone Number
631-306-6249
Fax Number
person
Provider Business Mailing Address Details
Address
62 E Booker Ave
City
Wyandanch
State
New York
Zip
11798-4503
Phone Number
631-306-6249
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
335440 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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