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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922042894 NPPES
Iowa MEDICAID 1922042894
Iowa Other P00823157

Popular Providers