Kettlewell, Susan
Kettlewell, Susan is an sole proprietor health care provider with primary practice located at 610 N 2Nd Ave , Tucson AZ 85705-7802. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Kettlewell, Susan can be contacted via phone (520) 624-4931.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Arizona |
Profile Details
| NPI number | 1841413382 |
|---|---|
| LBN Legal business name | Kettlewell, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 26th, 2007 - about 18 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 | 1841413382 | NPPES |
| Arizona | MEDICAID | 194132 |
Popular Providers
-
Mazzola, David John
3151 E Holladay St , Tucson AZ 85706-2819 -
Stracy, Dawn Rene
4922 E Whispering Sage Rd , Tucson AZ 85706-9057 -
Williams, Christopher
77 N Camino Seco Apt 264 , Tucson AZ 85710-2972 -
Leunen, Michael Robert
16349 N Lago Del Oro Pkwy , Tucson AZ 85739-9629 -
Scharpnick, Jace
10115 E Rainbow Meadow Dr , Tucson AZ 85747-5503 -
Weekley, Lisa C
2841 W Firebrook Rd , Tucson AZ 85741-5228 -
Harvey, Jason Charles
10859 S Swan Rd , Tucson AZ 85746 -
Ford, Jacqueline Yvonne
3672 S Escalante Oasis Pl , Tucson AZ 85730-4497