Ms. Kally A Petka, FNP
Nurse Practitioner, Family in Southbridge, Massachusetts
1548892326- Practice location
- 100 South St, Southbridge, MA 01550-4051
- Phone
- 508-765-9771
- Fax
- —
- Last updated
- January 30, 2025
Kally Ann Petka is a Nurse Practitioner, Family based in Southbridge, MA. Kally Ann Petka practices in Southbridge, MA and has the professional credentials of FNP. The NPI Number for Kally Ann Petka is 1548892326 and holds a License No. RN2277628 (MA). The current practice location address for Kally Ann Petka is 100 South St, Southbridge, MA 01550-4051 and can be reached out via phone at 508-765-9771.
Provider Profile Details
- NPI Number
- 1548892326
- Provider Name
- Kally Ann Petka
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 South St, Southbridge, MA 01550-4051
- Phone Number
- 508-765-9771
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 10, 2020
- Last Update Date
- January 30, 2025
- Certification Date
- January 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 South St
Southbridge, MA 01550-4051 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-4051
- Phone Number
- 508-765-9771
Provider Business Mailing Address Details
- Address
- 100 South St Ste 1
Southbridge, MA 01550-4047 - City
- Southbridge
- State
- MA
- Zip
- 01550-4047
- Phone Number
- 508-765-9771
License Information
- License Number (1)
- RN2277628
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- RN2277628
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Southbridge, MA
View all Nurse Practitioner, Family providers in Southbridge →- Alexandr KleynermanNurse Practitioner, Family · NPI 1669889861
- Ariel J Bullock, APRNNurse Practitioner, Family · NPI 1205388915
- Christine A SurretteNurse Practitioner, Family · NPI 1689160954
- Cindy PorterNurse Practitioner, Family · NPI 1083158083
- Eileen M Kane, FNPNurse Practitioner, Family · NPI 1700062262
- Erin Dashnaw, FNPNurse Practitioner, Family · NPI 1235680513
Frequently Asked Questions
What is the NPI number of Ms. Kally A Petka, FNP?
The NPI number of Ms. Kally A Petka, FNP is 1548892326. It was assigned on February 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Ms. Kally A Petka, FNP?
Ms. Kally A Petka, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2277628.
Where does Ms. Kally A Petka, FNP practice?
The practice location is 100 South St, Southbridge, MA 01550-4051. The office can be reached at 508-765-9771 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548892326 directly on the NPPES registry website.