Individual provider · Type 1 NPI

Corey Kettering

Licensed Practical Nurse · Anchorage, AK

NPI number 1215320577 Active

Practice location

700 E 34th Ave
Anchorage, AK 99503-4120

Call (330) 936-0142 Map

Mailing address

PO Box 2352
Crystal Beach, TX 77650-2352

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X7194 (AK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1215320577

Corey Kettering's National Provider Identifier is 1215320577, issued on Mar 11, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Anchorage, AK. The record was last updated on Mar 11, 2015.