LARRY KETTLEWELL


Address: 1714 Sw 17th St, Ocala, FL 34471-1227
Phone: 3522749900

LARRY KETTLEWELL (NPI# 1346275427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice OS12391 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1714 SW 17TH ST
City OCALA
State FL
Zip Code 34471-1227

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City OCALA
Zip Code 34471

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Dataset Information

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.

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