Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Kiley, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1538752720

Kathleen Kiley, AGPCNP-BC is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

109 4th St
New Hyde Park, NY 11040-4117
Phone: (516) 319-1126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F304168-1 (NY)

Record details

NPI number1538752720
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedFebruary 18, 2021
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New Hyde Park