Kettering, Randy Lee

Kettering, Randy Lee is an individual health care provider with primary practice located at 11 W College Dr Suite B, Arlington Heights IL 60004-1900. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kettering, Randy Lee can be contacted via phone (847) 934-8475.

Contact Information

Primary practice address
11 W College Dr Suite B Arlington Heights IL 60004-1900
Fax: (847) 934-8475
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071003300 Illinois

Profile Details

NPI number 1407849680
LBN Legal business name Kettering, Randy Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 28th, 2008 - about 17 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.

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