Hannah Elaine Kettle-church LPN

NPI 1316128879 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1316128879
Gender Female
Enumeration Date 11/26/2007
Last Updated 11/26/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
301 HUGHES ST NE
FORT WALTON BEACH FL, 32548-6403, US
Phone (850) 833-3355
Fax (850) 833-3473
Business Location
221 HOSPITAL DR NE
FORT WALTON BEACH FL, 32548-5066, US
Phone (850) 833-9240
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Florida
License Number PN5176488
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According to our database, Mrs. Hannah Elaine Kettle-church LPN NPI is 1316128879, taxonomy code is 164W00000X and license number is PN5176488, license state is located at Florida. Hannah Elaine Kettle-church LPN physically located at 301 Hughes St Ne, Fort Walton Beach FL, 32548-6403. NPI Number Hannah Elaine Kettle-church LPN has the Individual type.

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1316128879 NPI number is provided on an as is basis without warranty of any kind. 1316128879 is maintained by the National Plan & Provider Enumeration System. The contents of Hannah Elaine Kettle-church LPN are for informational purposes only.