Kettl, David Lawrence

Kettl, David Lawrence is an individual health care provider with primary practice located at 12017 Citrus Grove Rd , North Potomac MD 20878-4913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kettl, David Lawrence can be contacted via phone (301) 796-2105.

Contact Information

Primary practice address
12017 Citrus Grove Rd North Potomac MD 20878-4913
Fax: (301) 796-9895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D31677 Maryland

Profile Details

NPI number 1730264706
LBN Legal business name Kettl, David Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 19 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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