DAVID W KETTLEY RN NPI 1629263785

NPI Information

NPI: 1629263785
Provider Name: DAVID W KETTLEY, RN
Classification: Registered Nurse - 163WI0500X
Entity Type: Individual

Specialization: Infusion Therapy

Address:
89 BLACKBERRY TRL
AURORA, IL
ZIP 60506
Phone: (630) 346-3073
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David W Kettley, RN is an infusion therapy registered nurse in Aurora, IL. David W Kettley, RN NPI is 1629263785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

89 BLACKBERRY TRL
AURORA, IL
ZIP 60506-261
Phone: (630) 346-3073

The enumeration date for this NPI number is 9/12/2007 and was last updated on 4/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WI0500X	Registered Nurse	Infusion Therapy	041307853	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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