Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TODD OWEN KETTERING, D.O.
ActiveTODD OWEN KETTERING, D.O. is a Family Medicine healthcare provider located in NORMAL, Illinois. NPI 1972619526 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NORMAL, IL
Registration Details
- NPI Number
- 1972619526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2006 (19.949268148967 yrs)
- Last Updated
- Aug 10, 2022
- Licenses
-
34007709 (OH)036.123240 (IL)
Practice Information
- Address
-
1300 FRANKLIN AVENUE, SUITE 100NORMAL, IL, 61761Browse IL providers · Browse ZIP 61761
- Phone
- 3092683761
- Fax
- 3092685620
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| LINDA S MOORHEAD | MD | 1811957152 |
| DR. MADHAVI MADUGULA | M.D. | 1144266065 |
| DR. MARCIA K. HAUTER | — | 1548288327 |
| DR. JULIANA R. KAMINSKI | D.O. | 1194747527 |
| JOHN A. POLLASTRINI | M.D. | 1033131479 |
| JAMES STEVEN VALES | M.D. | 1083724405 |
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.