MS. Kally Ann Petka, FNP
NPI #1548892326 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1548892326
- Entity Type
- Individual
- Name
- MS. Kally Ann Petka, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Feb 10, 2020
- Last Updated
- Jan 30, 2025
Practice Location
- Address
- 100 SOUTH ST
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550-4051
- Phone
- (508) 765-9771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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