Kettlewell, Paul W.
Kettlewell, Paul W. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1335. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kettlewell, Paul W. can be contacted via phone (570) 271-6516.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-1335
Phone: (570) 271-6516
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS003794L | Pennsylvania |
Profile Details
| NPI number | 1518926948 |
|---|---|
| LBN Legal business name | Kettlewell, Paul W. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 7th, 2021 - about 3 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 | 1518926948 | NPPES |
| Pennsylvania | MEDICAID | 001675770 | |
| Pennsylvania | MEDICAID | 067206 |
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