DAVID W KETTLEY (NPI# 1629263785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629263785 |
Entity Type | Individual |
Full Name | DAVID W KETTLEY |
Credential | RN |
Practice Address |
89 Blackberry Trl Aurora IL 60506-4261 |
Practice Telephone | 6303463073 |
Mailing Telephone | 6303463073 |
Enumeration Date | 2007-09-12 |
Last Update Date | 2010-04-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
041307853 | IL | Nursing Service Providers |
Street Address |
89 BLACKBERRY TRL |
City | AURORA |
State | IL |
Zip Code | 60506-4261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
Find all providers in zip 60506 |
Taxonomy Code | 163WI0500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Infusion Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083981740 | Carolyn Esther Williams | Registered Nurse | 25212 West Rte 120, Wg1-2n, Round Lake, IL 60073 | 2011-11-23 |
1194124032 | Sharon Faye Haege | Registered Nurse | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-08-16 |
1699111559 | Yvonne Marie Sprouse | Registered Nurse | 1900 E Main St, Danville, IL 61832-5100 | 2013-05-20 |
1073652681 | Jane E Zera | Registered Nurse | 1800 Sherman Ave, Ste 350, Evanston, IL 60201-3777 | 2007-02-06 |
Please comment or provide details below to improve the information on DAVID W KETTLEY.
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.