ANDREW KETTEL
NPI 1396200556
Student in an Organized Health Care Education/Training Program in Westlake, OH

Active since February 01, 2019
24579 HALL DR, WESTLAKE, OH 44145(440) 823-6420 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew Kettel NPPES

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

ANDREW KETTEL (NPI 1396200556) is an individual student in an organized health care education/training program in Westlake, Ohio and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1396200556
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW KETTEL
Location Address24579 HALL DRWestlake, OH 44145-4911
Mailing Address24579 Hall DrWestlake, OH 44145-4911 · (440) 823-6420
Sole ProprietorYes
Enumeration DateFebruary 1, 2019
NPI 1396200556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

24579 HALL DR, Westlake, OH 44145

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396200556, enumerated as an "individual" on February 01, 2019.

The provider is located at 24579 HALL DR WESTLAKE, OH 44145 and the phone number is (440) 823-6420.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.