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Ketlie Camille

NPI 1770213183 · on the registry since 2022 · sole proprietor

Practice

Address
787 E 46th St
Apt 5d
Brooklyn, NY 11203
Phone
(718) 629-5467
Clinicians at this address
3

Registry record

Primary taxonomy
163WE0003X
163WE0003X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-16

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 New York