David W Kettley RN

NPI 1629263785 - Registered Nurse - 163WI0500X

NPI Details
NPI 1629263785
Gender Male
Enumeration Date 09/12/2007
Last Updated 04/08/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
89 BLACKBERRY TRL
AURORA IL, 60506-4261, US
Phone (630) 346-3073
Fax
Business Location
89 BLACKBERRY TRL
AURORA IL, 60506-4261, US
Phone (630) 346-3073
Fax
Toxanomy
Taxonomy Code 163WI0500X
License State Illinois
License Number 041307853
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According to our database, David W Kettley RN NPI is 1629263785, taxonomy code is 163WI0500X and license number is 041307853, license state is located at Illinois. David W Kettley RN physically located at 89 Blackberry Trl, Aurora IL, 60506-4261. NPI Number David W Kettley RN has the Individual type.

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1629263785 NPI number is provided on an as is basis without warranty of any kind. 1629263785 is maintained by the National Plan & Provider Enumeration System. The contents of David W Kettley RN are for informational purposes only.