Individual
MS. ELIZABETH PRESSLY KETTYLE
Active
Individual
MS. ELIZABETH PRESSLY KETTYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM00163
RI
367A00000X
Advanced Practice Midwife
RN240561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340570
—
MA
01
—
1910257-001
CIGNA
MA
01
—
5715344
HCVM
MA
01
—
CN0240
BCBS
MA
01
—
HV0044
HPHC
MA
Enumeration date
01/16/2007
Last updated
07/29/2026
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