Provider Demographics
NPI:1952296253
Name:CASTRO, KYLEE VICTORIA (APRN)
Entity type:Individual
Prefix:MRS
First Name:KYLEE
Middle Name:VICTORIA
Last Name:CASTRO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:KYLEE
Other - Middle Name:VICTORIA
Other - Last Name:WHEELOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3209 38TH AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-7230
Mailing Address - Country:US
Mailing Address - Phone:207-299-5165
Mailing Address - Fax:
Practice Address - Street 1:2601 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-4504
Practice Address - Country:US
Practice Address - Phone:941-925-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL03250550363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care