MR. ERNEST JOHN KETTIG (NPI# 1043522584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043522584 |
| Entity Type | Individual |
| Full Name | MR. ERNEST JOHN KETTIG |
| Practice Address |
206 Taylorsville Rd. Ste. A Taylorsville KY 40071 |
| Practice Telephone | 5023549400 |
| Practice Fax Number | 5023549401 |
| Mailing Telephone | 5023549400 |
| Mailing Fax Number | 5023549401 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2011-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | KY | Suppliers |
| Street Address |
206 TAYLORSVILLE RD. STE. A |
| City | TAYLORSVILLE |
| State | KY |
| Zip Code | 40071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322841 | Debbie Long | Registered Nurse | 88 Spears Drive, Taylorsville, KY 40071 | 2016-08-28 |
| 1679869184 | Matthew Alan Bormann | Dentist | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2011-06-22 |
| 1023325594 | Patrick Daniel Bray | Physical Therapist | 4813 Taylorsville Rd., Taylorsville, KY 40071 | 2010-09-07 |
| 1922202480 | Kristen Smotherman | Counselor | 73 East Main Street, Taylorsville, KY 40071 | 2007-06-11 |
| 1669590774 | Bg House Enterprises Inc | Physical Therapist | 4813 Taylorsville Rd, Taylorsville, KY 40071 | 2007-03-27 |
| 1346263324 | Scpg Kentucky LLC | Pharmacy | 847 Taylorsville Rd, Taylorsville, KY 40071 | 2006-07-25 |
| 1154375020 | Ethel Darline Luster Caldwell | Nurse Practitioner | 870 Taylorsville Road, Taylorsville, KY 40071 | 2006-05-22 |
| 1023080884 | North Central District Health Dept. | Public Health or Welfare | 88 Spears Dr, Taylorsville, KY 40071 | 2006-02-06 |
| 1801343140 | Melissa Ann Hines | Nurse Practitioner | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2016-09-03 |
| 1235326588 | Melissa Thomas | Physician Assistant | 870 Taylorsville Road, Taylorsville, KY 40071 | 2007-10-01 |
| Find all providers in zip 40071 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1548680598 | Cns Professional Services | Durable Medical Equipment & Medical Supplies | 3685 W 6200 S, Taylorsville, UT 84129-3731 | 2014-04-17 |
| 1689968927 | Ernest John Kettig | Durable Medical Equipment & Medical Supplies | 206a Taylorsville Rd, Taylorsville, KY 40071-8724 | 2011-06-03 |
| 1366741779 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 1758 W 5400 S, Taylorsville, UT 84118-1457 | 2011-03-24 |
| 1780714386 | Randy's House of Medicine | Durable Medical Equipment & Medical Supplies | 305 Front St, Taylorsville, MS 39168 | 2007-03-06 |
| 1982752697 | Alta Meadows Medical Services Inc | Durable Medical Equipment & Medical Supplies | 3587 W 4700 S, Taylorsville, UT 84118-2846 | 2007-01-08 |
| 1013922053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4668 S Redwood Rd, Taylorsville, UT 84123-5687 | 2006-07-29 |
| 1043237233 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5469 S Redwood Rd, Taylorsville, UT 84123-5318 | 2006-07-16 |
| 1245257484 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 901 Nc Highway 16 S, Taylorsville, NC 28681-8941 | 2006-07-16 |
| 1063960631 | Sleep Better Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3165 W 4700 S, Taylorsville, UT 84129-2526 | 2016-09-13 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 40071 |
Please comment or provide details below to improve the information on MR. ERNEST JOHN KETTIG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.