Provider Demographics
NPI:1407677768
Name:LESTER, WILLIAM KYLE III (RN)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:KYLE
Last Name:LESTER
Suffix:III
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19311 SEA MIST LN
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-9752
Mailing Address - Country:US
Mailing Address - Phone:813-484-9950
Mailing Address - Fax:
Practice Address - Street 1:4041 ROWAN RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6121
Practice Address - Country:US
Practice Address - Phone:727-284-1980
Practice Address - Fax:727-284-1981
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9671303163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)