Kay Louise Klymko, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9364769 Issued in FL

Practice address

1 John Anderson Dr
Unit 103
Ormond Beach, FL 32176-5767

Phone

(810) 357-6670

NPI assigned

Feb 27, 2006

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1174599328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOHN ANDERSON DR",
            "address_2": "UNIT 103",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321765768",
            "telephone_number": "810-357-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN ANDERSON DR",
            "address_2": "UNIT 103",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321765767",
            "telephone_number": "810-357-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYMKO",
        "first_name": "KAY",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9364769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandford H. Kinne III, DO
• Kist Medical LLC
• Leila Klemm
• Thomas Matthew Kline, O.D.
• Andria Klioze, M.D.
• Debra Komins
• Rachel Koontz, RCSWI
• Krista Marie Koppenberger, PA-C
• John Korfant
• Marciley Korfant

• Nurse Practitioner in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.