COREY KETTERING
NPI 1215320577
Licensed Practical Nurse in Anchorage, AK
- Individual
- Male
- Licensed Practical Nurse
About COREY KETTERING
This page provides the complete NPI Profile along with additional information for Corey Kettering, a provider established in Anchorage, Alaska with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1215320577 assigned on March 2015. The practitioner's primary taxonomy code is 164W00000X with license number 7194 (AK). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1215320577 Verify this NPI
- Provider Name
- COREY KETTERING
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 700 E 34TH AVE ANCHORAGE, AK 99503
- Location Phone
- (330) 936-0142
- Mailing Address
- PO BOX 2352 CRYSTAL BEACH, TX 77650
- Mailing Phone
- (330) 936-0142
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-11-2015
- Last Update Date
- 03-11-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 7194
- License State
- AK
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215320577, enumerated as an "individual" on March 11, 2015.
The provider is located at 700 E 34TH AVE ANCHORAGE, AK 99503 and the phone number is (330) 936-0142.
Licensed Practical Nurse with taxonomy code 164W00000X.
