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

MS. Kally Ann Petka, FNP

Individual provider Nurse Practitioner · NPI 1548892326

MS. Kally Ann Petka, FNP is a Nurse Practitioner in Southbridge, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

100 S St
Southbridge, MA 01550-4051
Phone: (508) 765-9771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2277628 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2277628 (MA)

Record details

NPI number1548892326
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 29, 2025

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