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

Kettia Nephtalie Guillite

Individual provider Nephrology Physician · NPI 1508495706

Kettia Nephtalie Guillite is an Internal Medicine in Farmington, New Mexico. Qualified in 2020, 6 years ago. Practices with My Kidney Care LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Mexico and New York.

Years since qualifying
6
Licensed in
NM, NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

301 S Lake St
Farmington, NM 87401-5619
Phone: (505) 278-8575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD2025-0787 (NM)
Internal Medicine Physician Taxonomy 207R00000X · Licence 323904 (NY)

Record details

NPI number1508495706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice My Kidney Care Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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