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

Mary Beth Kettyle, RN

Individual provider Registered Nurse · NPI 1942557798

Mary Beth Kettyle, RN is a Registered Nurse in New York, New York. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2012
Specialties on file
2
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

122 E 23rd St
New York, NY 10010-4516 Not confirmed with CMS for 14 years — call before visiting
Phone: (212) 677-7400
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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 650858-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN 9293191 (FL)

Record details

NPI number1942557798
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 11, 2012
Last updated in NPPESAugust 11, 2012

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