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KODY S KETTLE
NPI 1669129383
Chiropractor in Chantilly, VA

Active since March 02, 2022Accepts Medicare Assignment
24805 PINEBROOK RD STE 314, CHANTILLY, VA 20152(702) 957-3373 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kody S Kettle NPPES

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

KODY S KETTLE (NPI 1669129383) is an individual chiropractor in Chantilly, Virginia, licensed in Virginia (01045557796) and active in the NPI registry since March 2022. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2021).

NPPES Registry Identity

NPI1669129383
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKODY S KETTLE
Location Address24805 PINEBROOK RD STE 314Chantilly, VA 20152-4128
Mailing Address24805 Pinebrook Rd Ste 314Chantilly, VA 20152-4128 · (703) 957-3373
Phone(702) 957-3373
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2021
Enumeration DateMarch 2, 2022
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1669129383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 01045557796
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
24805 PINEBROOK RD STE 314, Chantilly, VA 20152
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kody S Kettle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052706983
PECOS Enrollment IDI20220317002708

Other Providers at the Same Location NPPES 2

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

INTEGRATED HEALTHCARE SYSTEMS INC
Chiropractor (Sports Physician)
24805 PINEBROOK RD STE 314
CHANTILLY, VA 20152
Loudoun County (703) 957-3373
DR. VISHAL KRISHNA VERMA D.C.
Chiropractor (Rehabilitation)
24805 PINEBROOK RD STE 314
CHANTILLY, VA 20152
Loudoun County (703) 957-3373

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 Kody Kettle's NPI number?

The NPI number for Kody Kettle is 1669129383. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Where is Kody Kettle located?

Kody Kettle practices at 24805 Pinebrook Rd Ste 314, Chantilly, VA 20152. The listed phone number is (702) 957-3373.

What is Kody Kettle's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kody Kettle enrolled in Medicare?

Yes. Kody Kettle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kody Kettle was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.