Corey Kettering
Licensed Practical Nurse in Anchorage, AK. Individual provider (NPI-1).
NPI number1215320577
StatusActive
Last updated in NPPESMar 11, 2015
Details
- NPI
- 1215320577
- Entity type
- Individual (NPI-1)
- Name
- Corey Kettering
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2015
- Last updated
- Mar 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 7194 | AK | Yes |
Practice location
700 E 34th AveAnchorage, AK 99503-4120
Phone 330-936-0142
Mailing address
Po Box 2352Crystal Beach, TX 77650-2352
Phone 330-936-0142
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All 242 Licensed Practical Nurse providers in Anchorage · All 15,067 providers in Anchorage
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