Kettly House LLC
Kettly House LLC is a Community Health Registered Nurse in Sunrise, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2191 NW 74th AveSunrise, FL 33313-3855
Phone: (954) 546-0667
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Registered Nurse (primary) | Taxonomy 163WC1500X |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1457231003 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kettly Derival — Ceo · (954) 546-0667 |
| NPI enumerated | September 4, 2025 |
| Last updated in NPPES | September 4, 2025 |
| Certification date | September 4, 2025 |
| Mailing address | 2191 Nw 74th Ave, Sunrise, FL 33313-3855 |