Provider Demographics
NPI:1558620138
Name:HYLL-HENRY, KAVEEN ANGELA (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAVEEN
Middle Name:ANGELA
Last Name:HYLL-HENRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:KAVEEN
Other - Middle Name:ANGELA
Other - Last Name:HYLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 SARATOGA AVENUE P.S. 137
Mailing Address - Street 2:3RD FLOOR - MEDICAL ROOM
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233
Mailing Address - Country:US
Mailing Address - Phone:718-453-2926
Mailing Address - Fax:718-453-5363
Practice Address - Street 1:121 SARATOGA AVENUE P.S. 137
Practice Address - Street 2:3RD FLOOR - MEDICAL ROOM
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233
Practice Address - Country:US
Practice Address - Phone:718-453-2926
Practice Address - Fax:718-453-5363
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY454985-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse