Kettelkamp, James E

Kettelkamp, James E is an individual health care provider with primary practice located at 4480 Utica Ridge Rd Suite 2230, Bettendorf IA 52722-1644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kettelkamp, James E can be contacted via phone (563) 742-5150.

Contact Information

Primary practice address
4480 Utica Ridge Rd Suite 2230 Bettendorf IA 52722-1644
Phone: (563) 742-5150
Fax: (563) 742-5175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31459 Iowa

Profile Details

NPI number 1346228970
LBN Legal business name Kettelkamp, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Feb 5th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346228970 NPPES
Iowa MEDICAID 1346228970
Iowa MEDICAID 3144113
Iowa Other 110228451
Iowa MEDICAID 1750347035

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