National Provider Identifier
Kylie Morgan Dewilde
Kylie Morgan Dewilde is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Clifton Springs, NY and a listed phone number of (315) 521-6489.
Source: public NPPES record, last updated November 19, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1417550765
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 19, 2020
- Last Updated
- November 19, 2020
Practice Location
- 3205 Taylor RD
- Clifton Springs, NY 14432-9347
Phone: (315) 521-6489
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Kylie Morgan DeWilde is a licensed practical nurse based in Clifton Springs, New York. In January 2022, the New York State Board of Regents issued a consent-order disciplinary action involving a HIPAA/privacy matter, with a two-month actual suspension followed by stayed suspension and probation.
Full Record
- NPI
- 1417550765
- Entity Type
- Individual
- Last Name
- Dewilde
- First Name
- Kylie
- Middle Name
- Morgan
- Mailing Street Address
- 3205 Taylor RD
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-9347
- Mailing Country
- US
- Practice Street Address
- 3205 Taylor RD
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-9347
- Practice Country
- US
- Practice Phone
- (315) 521-6489
- Enumeration Date
- November 19, 2020
- Last Updated
- November 19, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 09, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)