HEATHER KETTLEWELL MD
NPI 1013844471
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Heather Kettlewell's NPI number?

The NPI number for Heather Kettlewell is 1013844471. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Q: What is Heather Kettlewell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 07, 2026PECOS Enrolled

833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107(215) 955-8420(215) 503-0429 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heather Kettlewell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER KETTLEWELL MD (NPI 1013844471) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013844471

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameHEATHER KETTLEWELLCredential: MD

Location Address833 CHESTNUT ST STE 210Philadelphia, PA 19107-4405

Mailing Address833 Chestnut St Ste 210Philadelphia, PA 19107-4405 · (215) 955-5638 · Fax (215) 503-6116

Phone(215) 955-8420

Fax(215) 503-0429

Sole ProprietorYes

Enumeration DateMay 7, 2026

NPPES CertifiedMay 7, 2026

✔ NPI 1013844471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST STE 210, Philadelphia, PA 19107

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Kettlewell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC GRAMSZLO

Student in an Organized Health Care Education/Training Program