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

Kemberly Douglas

Individual provider Licensed Practical Nurse · NPI 1104294040

Kemberly Douglas is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

2052 Tillotson Ave
Bronx, NY 10475-1560
Phone: (718) 671-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 323144 (NY)

Record details

NPI number1104294040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 9, 2015
Mailing address2052 Tillotson Ave, Bronx, NY 10475-1560

Other providers in Bronx