What is Kylie Petzak's NPI number?

Kylie Petzak's National Provider Identifier (NPI) is 1407317944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kylie Petzak's specialty?

Kylie Petzak is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Kylie Petzak located?

Kylie Petzak's practice location on file with NPPES is 920 Diana St, Ludington, MI 49431-1987.

What is Kylie Petzak's phone number?

The practice phone number listed in the NPPES registry for Kylie Petzak is (231) 845-6294.

Is Kylie Petzak's NPI active?

Yes — Kylie Petzak's NPI (1407317944) is active in the NPPES registry as of the last update on 2019-03-27.

IndividualActive

Kylie Petzak, RN

NPI 1407317944 · Registered Nurse · Ludington, MI

Kylie Petzak, RN is a Registered Nurse provider in Ludington, MI (NPI 1407317944).

Provider details

NPI number: 1407317944
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: 4704342180 (MI)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 4704342180 (MI)
Nursing Service Providers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

920 Diana St

Ludington, MI 49431-1987

Phone: (231) 845-6294

Fax: (231) 845-7095

Street-level locationGet directions

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Mailing address