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

Kettia Charles

Individual provider Family Nurse Practitioner · NPI 1750239208

Kettia Charles is a Family Nurse Practitioner in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-5540
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 699259 (NY)

Record details

NPI number1750239208
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 19, 2026
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address3 Balmville Rd, Newburgh, NY 12550-1911

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