Provider Demographics
NPI:1144117961
Name:BETTS, KYLEE RAE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KYLEE
Middle Name:RAE
Last Name:BETTS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 GEORGE SUBDIVISION RD
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35504-3921
Mailing Address - Country:US
Mailing Address - Phone:205-522-8636
Mailing Address - Fax:
Practice Address - Street 1:38 GEORGE SUBDIVISION RD
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35504-3921
Practice Address - Country:US
Practice Address - Phone:205-522-8636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-186532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily