DAVID W KETTLEY


Address: 89 Blackberry Trl, Aurora, IL 60506-4261
Phone: 6303463073

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WI0500X Registered Nurse
Specialization: Infusion Therapy
041307853 IL Nursing Service Providers

Office Location

Street Address 89 BLACKBERRY TRL
City AURORA
State IL
Zip Code 60506-4261

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Taxonomy Information

Taxonomy Code 163WI0500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Infusion Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City AURORA
Zip Code 60506

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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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