Provider Demographics
NPI:1679467674
Name:DUNKLEY, KAYE-ANN
Entity type:Individual
Prefix:
First Name:KAYE-ANN
Middle Name:
Last Name:DUNKLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 COCOA ST SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-4316
Mailing Address - Country:US
Mailing Address - Phone:954-496-4104
Mailing Address - Fax:
Practice Address - Street 1:187 COCOA ST SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-4316
Practice Address - Country:US
Practice Address - Phone:321-586-9136
Practice Address - Fax:888-518-1703
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13990310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility