Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN KETTYLE
Active Sole ProprietorSHAWN KETTYLE is a Skilled Nursing Facility healthcare provider located in WILLOW GROVE, Pennsylvania. NPI 1134527369 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · WILLOW GROVE, PA
Registration Details
- NPI Number
- 1134527369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2014 (11.620191508755 yrs)
- Last Updated
- Dec 22, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
1113 EASTON RDWILLOW GROVE, PA, 190901901Browse PA providers · Browse ZIP 19090
- Phone
- 2156593060
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.