Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kle Nurse Practitioner in Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1639996242

Kle Nurse Practitioner in Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Brooklyn, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 N 12th St Ste 704
Brooklyn, NY 11249-1002
Phone: (347) 378-3144
Fax: (469) 242-9827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1639996242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kemisola Ebietomiye — Owner Of Entity · (347) 378-3144
NPI enumeratedSeptember 24, 2024
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address548 Westwood Way Dr, Haslet, TX 76052-3079

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