- Practice location
- 2015 Grand Ave, Bronx, NY 10453-4611
- Phone
- 718-583-7736
- Fax
- 718-537-6180
- Last updated
- April 22, 2024
Kettely Joseph is a Nurse Practitioner, Acute Care based in Bronx, NY. Kettely Joseph practices in Bronx, NY and has the professional credentials of APRN. The NPI Number for Kettely Joseph is 1548973357 and holds a License No. 11023636 (FL). The current practice location address for Kettely Joseph is 2015 Grand Ave, Bronx, NY 10453-4611 and can be reached out via phone at 718-583-7736 and via fax at 718-537-6180.
Provider Profile Details
- NPI Number
- 1548973357
- Provider Name
- Kettely Joseph
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2015 Grand Ave, Bronx, NY 10453-4611
- Phone Number
- 718-583-7736
- Fax Number
- 718-537-6180
- Primary Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2022
- Last Update Date
- April 22, 2024
- Certification Date
- April 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2015 Grand Ave
Bronx, NY 10453-4611 - City
- Bronx
- State
- New York
- Zip
- 10453-4611
- Phone Number
- 718-583-7736
- Fax Number
- 718-537-6180
Provider Business Mailing Address Details
- Address
- 2626 Halperin Ave
Bronx, NY 10461-2631 - City
- Bronx
- State
- NY
- Zip
- 10461-2631
- Phone Number
- 718-618-0401
- Fax Number
- 347-479-1303
License Information
- License Number (1)
- 11023636
- License State (1)
- FL
- Taxonomy (1)
- Nurse Practitioner, Critical Care Medicine · 363LC0200X
- License Number (2)
- F432622
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Acute Care · 363LA2100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Acute Care providers near Bronx, NY
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Frequently Asked Questions
What is the NPI number of Kettely Joseph, APRN?
The NPI number of Kettely Joseph, APRN is 1548973357. It was assigned on December 27, 2022 and is currently active in the NPPES registry.
What is the specialty of Kettely Joseph, APRN?
Kettely Joseph, APRN is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in FL under license number 11023636.
Where does Kettely Joseph, APRN practice?
The practice location is 2015 Grand Ave, Bronx, NY 10453-4611. The office can be reached at 718-583-7736 (phone) or 718-537-6180 (fax).
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 1548973357 directly on the NPPES registry website.