Search › Florida › 1041C0700X
Kettia Duperval, LCSW
NPI 1164733895 · on the registry since 2010
Practice
- Address
- 9730 Glacier Dr
Miramar, FL 33025 - Phone
- (954) 993-1646
- Organisation at this address
- The Kdc Agency
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1401 S Federal Hwy, Fort Lauderdale, FL
- 11 Sw 5th Ave, Portland, OR
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- FL, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida