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Individual
KAYE PUCKETT
Active
Individual
KAYE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1069872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851046007
—
TX
01
—
8RH312
BCBS OF TEXAS
TX
Enumeration date
02/16/2022
Last updated
02/02/2026
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