Todd Owen Kettering, D.O.

NPI #1972619526 in Normal, Illinois

Provider Information

NPI Number: 1972619526
Entity Type: Individual
Name: Todd Owen Kettering, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Aug 23, 2006
Last Updated: Aug 10, 2022

Practice Location

Address: 1300 FRANKLIN AVENUE, SUITE 100
City: Normal
State: Illinois
ZIP Code: 61761
Phone: (309) 268-3761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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