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Organization

KLE NURSE PRACTITIONER IN PSYCHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEMISOLA EBIETOMIYE (OWNER OF ENTITY)
(347) 378-3144
Entity
Organization

Contact information

Practice address
109 N 12TH ST STE 704, BROOKLYN, NY 11249-1002
(347) 378-3144
(469) 242-9827
Mailing address
548 WESTWOOD WAY DR, HASLET, TX 76052-3079
(347) 378-3144
(469) 242-9827

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/24/2024
Last updated
05/14/2025
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