Todd Owen Kettering D.O.

NPI 1972619526 - Family Medicine - 207Q00000X

NPI Details
NPI 1972619526
Gender Male
Enumeration Date 08/23/2006
Last Updated 08/07/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1300 FRANKLIN AVENUE, SUITE 100
NORMAL IL, 61761, US
Phone (309) 268-3761
Fax (309) 268-5620
Business Location
1300 FRANKLIN AVENUE, SUITE 250
NORMAL IL, 61761, US
Phone (309) 268-2502
Fax (309) 268-5620
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 34007709
Remove 1972619526 NPI Number
 

According to our database, Todd Owen Kettering D.O. NPI is 1972619526, taxonomy code is 207Q00000X and license number is 34007709, license state is located at Ohio. Todd Owen Kettering D.O. physically located at 1300 Franklin Avenue, Suite 100, Normal IL, 61761. NPI Number Todd Owen Kettering D.O. has the Individual type.

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1972619526 NPI number is provided on an as is basis without warranty of any kind. 1972619526 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Owen Kettering D.O. are for informational purposes only.