MRS. Stormie Dawn Kettlewell, R.N.

NPI #1235384991 in Logan, Ohio

Provider Information

NPI Number: 1235384991
Entity Type: Individual
Name: MRS. Stormie Dawn Kettlewell, R.N.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: R.N.
Enumeration Date: Nov 22, 2008
Last Updated: Nov 22, 2008

Practice Location

Address: 460 E MAIN ST
City: Logan
State: Ohio
ZIP Code: 43138-1415
Phone: (740) 704-4732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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