Emily Joy Kettner
Speech-Language Pathologist, in Chicago, IL. Individual provider (NPI-1).
NPI number1003129396
StatusActive
Last updated in NPPESJul 15, 2010
Details
- NPI
- 1003129396
- Entity type
- Individual (NPI-1)
- Name
- Ms. Emily Joy Kettner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2010
- Last updated
- Jul 15, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | IL | Yes |
Practice location
1332 W Wolfram StApartment 1
Chicago, IL 60657-4115
Phone 616-813-8851
Mailing address
1332 W Wolfram StApartment 1
Chicago, IL 60657-4115
Phone 616-813-8851
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