Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAWNA MARIE KETTYLE, M.D.
Active Sole ProprietorGeneral Surgery · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1811253321
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2012 (14.09589681207 yrs)
- Last Updated
- Jul 27, 2018
- License
-
61673 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 MAIN ST DEPT OFBRIDGEPORT, CT, 06606Browse CT providers · Browse ZIP 06606
- Phone
- 2035766000
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| WALTER M CHOLEWCZYNSKI | M.D. | 1679542666 |
| MARY T PRONOVOST | M.D. | 1851350011 |
| WILLIAM R BUTLER | M.D. | 1124087226 |
| ANDREW S KENLER | M.D. | 1104885169 |
| DR. VINCENT A MANJONEY JR. | MD | 1083638464 |
| ALISA SAVETAMAL | MD | 1245342575 |
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.