Kettering, Todd Owen

Kettering, Todd Owen is an individual health care provider with primary practice located at 1300 Franklin Avenue, Suite 100 , Normal IL 61761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kettering, Todd Owen can be contacted via phone (309) 268-3761.

Contact Information

Primary practice address
1300 Franklin Avenue, Suite 100 Normal IL 61761
Phone: (309) 268-3761
Fax: (309) 268-5620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007709 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.123240 Illinois

Profile Details

NPI number 1972619526
LBN Legal business name Kettering, Todd Owen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 10th, 2022 - about 2 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 1972619526 NPPES
Illinois MEDICAID 36123240
Illinois MEDICAID 2339713
Illinois Other 036-123240

Popular Providers