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Todd Owen Kettering, DO
Family Medicine Physician in Normal, Illinois
NPI 1972619526

Todd Owen Kettering is a Family Medicine Physician based in Normal, IL. Todd Owen Kettering practices in Normal, IL and has the professional credentials of DO. The NPI Number for Todd Owen Kettering is 1972619526 and holds a License No. 34007709 (Illinois).

The current practice location address for Todd Owen Kettering is 1300 Franklin Avenue, Suite 100, Normal, IL and can be reached out via phone at 309-268-3761 and via fax at 309-268-5620.

Location: 1300 Franklin Avenue, Suite 100, Normal, IL, 61761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972619526
Provider Name
Todd Owen Kettering
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1300 Franklin Avenue, Suite 100, Normal, IL, 61761
Phone Number
309-268-3761
Fax Number
309-268-5620
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36123240 05 IL
2339713 05 OH
036-123240 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1300 Franklin Avenue, Suite 100
City
Normal
State
Illinois
Zip
61761
Phone Number
309-268-3761
Fax Number
309-268-5620
person
Provider Business Mailing Address Details
Address
1300 Franklin Avenue, Suite 100
City
Normal
State
Illinois
Zip
61761
Phone Number
309-268-3761
Fax Number
309-268-5620
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
34007709 (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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