LARRY KETTLEWELL (NPI# 1346275427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346275427 |
Entity Type | Individual |
Full Name | LARRY KETTLEWELL |
Credential | D.O. |
Practice Address |
1714 Sw 17th St Ocala FL 34471-1227 |
Mailing Address |
8303 Sw 82nd Cir Ocala FL 34481-5539 |
Practice Telephone | 3522749900 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2020-01-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | OS12391 | FL | Allopathic & Osteopathic Physicians |
Street Address |
1714 SW 17TH ST |
City | OCALA |
State | FL |
Zip Code | 34471-1227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699772574 | Nanjappa Chandramohan | Internal Medicine | 1714 Sw 17th St, Ocala, FL 34471-1223 | 2005-07-07 |
1245851476 | Bc Medical Enterprises Pllc | Podiatrist | 1714 Sw 17th St, Ocala, FL 34471-1227 | 2020-04-28 |
1629540075 | Melissa Coleman | Nurse Practitioner | 1714 Sw 17th St, Ocala, FL 34471-1227 | 2018-12-26 |
1659812105 | Adam Kachelman | Family Medicine | 1714 Sw 17th St, Ocala, FL 34471-1227 | 2017-03-16 |
1629443551 | Radiology Partners, LLC | Clinic/Center | 1714 Sw 17th St, Ocala, FL 34471-1223 | 2015-12-03 |
1740656867 | Brent Elliott Carter | Podiatrist | 1714 Sw 17th St, Ocala, FL 34471-1227 | 2015-08-12 |
1205225679 | Super Urgent Care LLC | Clinic/Center | 1714 Sw 17th St, Ocala, FL 34471-1223 | 2015-01-22 |
1356688899 | Physician Partners Specialty Services, LLC | Orthopaedic Surgery | 1714 Sw 17th St, Ocala, FL 34471-1223 | 2013-01-03 |
1861694911 | Lisa L Young | Internal Medicine | 1714 Sw 17th St, Ocala, FL 34471-1227 | 2007-06-01 |
1447277991 | Leonard Savino | Internal Medicine | 1714 Sw 17th St, Ocala, FL 34471-1227 | 2006-07-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
Find all providers in zip 34471 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174910590 | Joseph Markey | General Practice | 1601 Sw 27th Ave Apt 1208, Ocala, FL 34471-8847 | 2015-04-23 |
1912218033 | Quick Primary Care, Pa | General Practice | 8550 Sw Highway 200, Ocala, FL 34481-9653 | 2010-06-23 |
1528218971 | Clara L De Jesus Kalil | General Practice | 7860 Sw 103rd St. Rd., Ocala, FL 34476-8623 | 2008-09-23 |
1881841237 | Lourdes Colon-cacho | General Practice | 7502 Sw 60th Ave, Ste B, Ocala, FL 34476-6467 | 2008-08-27 |
1427228402 | Miguel A. Nunez Gonzalez | General Practice | 100 Marion Oaks Blvd, Ocala, FL 34473-2209 | 2008-03-06 |
1700055878 | Rafael Radhames Rosario | General Practice | 7625 Sw 62nd Ct Ste 100, Ocala, FL 34476 | 2008-02-22 |
1225236706 | Luz Delia Rosario | General Practice | 2403 Se 17th St Ste 101, Ocala, FL 34471 | 2007-07-06 |
1255532933 | Jaime Eli Rubio Gonzalez | General Practice | 1133 Se 18th Pl Ste 2, Ocala, FL 34471-5404 | 2007-05-30 |
1508926940 | John E Anthousis | General Practice | 600 Sw 10th St Ste 202, Ocala, FL 34474-2600 | 2006-12-08 |
1255350518 | Philip Charles D'angelo | General Practice | 8150 Sw Highway 200, Suite 400, Ocala, FL 34481-9685 | 2006-07-18 |
Find all providers in OCALA |
Please comment or provide details below to improve the information on LARRY KETTLEWELL.
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.