The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1659498038 |
NPI Entity Type | Individual |
Provider Name | MPT Kimbraly A Kettler |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 4603 Timberwalk Ct, La Grange, KY, US |
Provider Mailing Address | 4603 Timberwalk Ct, La Grange, KY, US, 400316746 |
Gender | Female |
Is Sole Proprietor? | No |
Taxonomy Code | |
Taxonomy Name | Pediatric Physical Therapist |
Classification | |
Group |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
License No. | 007521 |
License State | KY |
Description | A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
002097665 | WV | MT STATE BCBS | 01 |
1073906 | WV | BRICKSTREET - WORKERS COMP | 01 |
PT002705 | WV | LICENSE # | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MRS. OTR/L Sarah Elizabeth Seigh Individual |
310b S Keeneland Dr |
||
DOULA Loran Marie Bernert Individual |
801 Barret Ave Ste 301 |
||
Lab One Of Ohio Inc Organization |
98 Post Office Drive |
||
Lab One Of Ohio Inc Organization |
2161 Lexington Rd Suite 5 |
||
MD Max Andrew Triantafillou Individual |
900 S Limestone Ctw 304 |
||
Lake Cumberland Regional Hospital Llc Organization |
110 Hardin Ln Ste 9 |
||
Lake Cumberland Regional Hospital, Llc Organization |
350 Hospital Way Suite 100 |
||
Lake Cumberland Regional Hospital Llc Organization |
353 Bogle St Suite A |
||
Lake Cumberland Regional Hospital Llc Organization |
305 Langdon St |
||
Sierra Rader Individual |
116 Meridian Way Ste 8 |
||
APRN Chelsey Sievert Individual |
122 Langley Dr |
||
APRN Mary Mitchell Individual |
1850 Bluegrass Ave |
||
Goben Family Care Llc Organization |
7139 State Route 56 E |
||
M.D. Michael Crum Individual |
911 Bypass Rd Bldg A |
||
Sarah L Young Individual |
601 Lincoln Park Rd |
||
D.O. William B Webb Individual |
911 Bypass Rd Bldg A |
||
PA-C Brittney R. Judhan Individual |
911 Bypass Rd Bldg A |
||
MD Brett E Jarrell Individual |
911 Bypass Rd Bldg A |
||
APRN Danny Brent Newsome Individual |
911 Bypass Rd Bldg A |
||
DO John M Fleming Individual |
911 Bypass Rd Bldg A |
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