Kettinger, Samuel James

Kettinger, Samuel James is an individual health care provider with primary practice located at 450 W Central Pkwy Ste 1000 , Altamonte Springs FL 32714-2433. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Kettinger, Samuel James can be contacted via phone (321) 397-2699.

Contact Information

Primary practice address
450 W Central Pkwy Ste 1000 Altamonte Springs FL 32714-2433
Phone: (321) 397-2699
Fax: (407) 926-0500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO4304 Florida

Profile Details

NPI number 1740841071
LBN Legal business name Kettinger, Samuel James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Mar 14th, 2023 - 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.

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