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BEVERLEY L KETEL MD NPI 1659402048


NPI Information

NPI: 1659402048
Provider Name: BEVERLEY L KETEL, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL
ZIP 61603
Phone: (309) 676-8123
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Beverley L Ketel, MD is a surgery in Peoria, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Beverley L Ketel, MD NPI is 1659402048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL
ZIP 61603-089
Phone: (309) 676-8123
Fax: (309) 676-8455

The enumeration date for this NPI number is 3/8/2007 and was last updated on 12/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery036051866ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020051363OTHERILLINOISRAILROAD MEDICARE
2C43002MEDICARE UPINILLINOIS
3036051866MEDICAIDILLINOIS
4L91091MEDICARE PINILLINOIS
5020051363OTHERILLINOISBCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.