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

Kaylie Bodvake

Individual provider Registered Nurse · NPI 1972332849

Kaylie Bodvake is a Registered Nurse in Holbrook, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

181 Cirrus Rd
Holbrook, NY 11741-4406
Phone: (631) 312-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 951284 (NY)

Record details

NPI number1972332849
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address181 Cirrus Rd, Holbrook, NY 11741-4406

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