Doctor Name: | KEARSTON KYLIE PERFETTO |
NPI Number: | 1003045857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9206349 |
Business Practice Address: | 1845 Veterans Park Dr Suite 210 Naples, FL - 341090493 |
Business Phone Number: | 2392540986 |
Business Fax Number: | 2392549754 |
Mailing Address: | 1845 Veterans Park Dr, Suite 210 NAPLES |
State: | FL |
Postal Code: | 341090493 |
Phone Number: | 2392540986 |
Fax Number: | 2392549754 |
NPI Enumeration Date: | 07/14/2009 |
NPI Last Update Date: | 07/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9206349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |