Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shawna Marie Kettyle, MD

Individual provider Surgery Physician · NPI 1811253321

Dr. Shawna Marie Kettyle, MD is a General Surgery in Bridgeport, Connecticut. Graduated from University of Virginia School of Medicine in 2012, 14 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
14
Trained at
University of Virginia School of Medicine
Licensed in
CT
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2800 Main St Dept OF
Bridgeport, CT 06606
Phone: (203) 576-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 61673 (CT)

Record details

NPI number1811253321
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2012
Last updated in NPPESJuly 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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