William Millen Kettyle in Cambridge - Internal Medicine
William Millen Kettyle - NPI 1306823414
William Millen Kettyle is a Internal Medicine in Cambridge, Massachusetts. William Millen Kettyle practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for William Millen Kettyle is 1306823414. The last update date is 2012-04-05.
William Millen Kettyle's current location address is 77 Mass Avenue, Cambridge, Massachusetts. You can contact this provider via phone number 6172534487. The mailing address for William Millen Kettyle is 77 Mass Avenue, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Millen Kettyle |
|---|---|
| Address | 77 Mass Avenue, Cambridge, Massachusetts |
| Phone Number | 6172534487 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306823414 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2012-04-05 |
Provider Mailing Address Detail
| Address | 77 Mass Avenue |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 2139 |
| Phone Number | 6172534487 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 35673 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2041588 | MA | -- | |
| J17018 | MA | BCBS MA | |
| 705990 | MA | TUFTS |
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What is the unique 10-digit identification code issued to William Millen Kettyle by the Centers for Medicare & Medicaid Services?
The William Millen Kettyle has been assigned the NPI (National Provider Identifier) 1306823414 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of William Millen Kettyle?
The William Millen Kettyle is situated at 77 Mass Avenue, in the city of Cambridge, state of MA, with the zip code 2139.
What is William Millen Kettyle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William Millen Kettyle is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306823414 to William Millen Kettyle?
The William Millen Kettyle received its 1306823414 assignment from the Centers for Medicare & Medicaid Services on 2005-12-29.
As of what date was the information regarding William Millen Kettyle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to William Millen Kettyle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-04-05.
NPI Number: 1982607784
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