Kettelkamp, Richard T
Kettelkamp, Richard T is an individual health care provider with primary practice located at 202 10Th St Se Suite 225, Cedar Rapids IA 52403-2404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kettelkamp, Richard T can be contacted via phone (319) 364-7101.Contact Information
Primary practice address
202 10Th St Se Suite 225
Cedar Rapids IA 52403-2404
Phone: (319) 364-7101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 3618 | Iowa |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 3618 | Iowa |
Profile Details
| NPI number | 1922042894 |
|---|---|
| LBN Legal business name | Kettelkamp, Richard T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Nov 21st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922042894 | NPPES |
| Iowa | MEDICAID | 1922042894 | |
| Iowa | Other | P00823157 |
Popular Providers
-
Bayat, Hamed
1955 W Citracado Pkwy Suite 300, Escondido CA 92029-4113 -
Mulvihill, Daniel F
15611 Pomerado Rd Suite 580, Poway CA 92064-2437 -
Wagdy, Hisham
202 10Th St Se Suite 225, Cedar Rapids IA 52403-2404 -
Bemis, Charles E.
1650 Huntingdon Pike Ste 352, Meadowbrook PA 19046-8009 -
Alwahdani, Abdullah A.
Mercy Cardiology Clinic 788 8Th Avenue Se, Suite 400, Cedar Rapids IA 52401 -
Pratsos, Antonis
1999 Sproul Rd Ste 21, Broomall PA 19008-3508 -
Madan, Nidhi
202 10Th St Se Ste 225 , Cedar Rapids IA 52403-2419 -
Vyas, Ankur
202 10Th St Se Ste 225 , Cedar Rapids IA 52403-2419