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

Kylie Petzak, RN

Individual provider Registered Nurse · NPI 1407317944

Kylie Petzak, RN is a Registered Nurse in Ludington, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

920 Diana St
Ludington, MI 49431-1987
Phone: (231) 845-6294
Fax: (231) 845-7095
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704342180 (MI)

Record details

NPI number1407317944
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019

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