KEVIN D FETTEL
NPI 1558210229
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since January 26, 2026
25 SHATTUCK ST APT 515, BOSTON, MA 02115(617) 432-1000 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin D Fettel NPPES

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

KEVIN D FETTEL (NPI 1558210229) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1558210229
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN D FETTEL
Location Address25 SHATTUCK ST APT 515Boston, MA 02115-6092
Mailing Address25 Shattuck St Apt 515Boston, MA 02115-6092 · (617) 432-1000
Sole ProprietorYes
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
NPI 1558210229 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.
25 SHATTUCK ST APT 515, Boston, MA 02115

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 Kevin Fettel's NPI number?

The NPI number for Kevin Fettel is 1558210229. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Kevin Fettel located?

Kevin Fettel practices at 25 Shattuck St Apt 515, Boston, MA 02115. The listed phone number is (617) 432-1000.

What is Kevin Fettel's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Fettel was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.