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COREY KETTERING
NPI 1215320577
Licensed Practical Nurse in Anchorage, AK

Active since March 11, 2015
700 E 34TH AVE, ANCHORAGE, AK 99503(330) 936-0142 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corey Kettering NPPES

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

COREY KETTERING (NPI 1215320577) is an individual licensed practical nurse in Anchorage, Alaska, licensed in Alaska (7194) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1215320577
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameCOREY KETTERING
Location Address700 E 34TH AVEAnchorage, AK 99503-4120
Mailing AddressPo Box 2352Crystal Beach, TX 77650-2352 · (330) 936-0142
Phone(330) 936-0142
Sole ProprietorNo
Enumeration DateMarch 11, 2015
✔ NPI 1215320577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in AK · 7194
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
700 E 34TH AVE, Anchorage, AK 99503
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Kettering's NPI number?

The NPI number for Corey Kettering is 1215320577. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Where is Corey Kettering located?

Corey Kettering practices at 700 E 34th Ave, Anchorage, AK 99503. The listed phone number is (330) 936-0142.

What is Corey Kettering's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Corey Kettering was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.