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

Miss. Kettly Derival, RN

Individual provider Registered Nurse · NPI 1497903306

Miss. Kettly Derival, RN is a Registered Nurse in North Baldwin, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

927 De Mott Ave
North Baldwin, NY 11510-1926
Phone: (516) 204-5518
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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 573255 (NY)

Record details

NPI number1497903306
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedSeptember 4, 2008
Last updated in NPPESSeptember 4, 2008

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