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

Kody S Kettle

Individual provider Chiropractor · NPI 1669129383

Kody S Kettle is a Chiropractic in Chantilly, Virginia. Graduated from Palmer College Chiropractic - West Sunnyvale in 2021, 5 years ago. Practices with Integrated Healthcare Systems Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Trained at
Palmer College Chiropractic - West Sunnyvale
Licensed in
VA
In the registry since
2022
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Practice location Address checks out

24805 Pinebrook Rd Ste 314
Chantilly, VA 20152-4128
Phone: (702) 957-3373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 01045557796 (VA)

Record details

NPI number1669129383
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address24805 Pinebrook Rd Ste 314, Chantilly, VA 20152-4128

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduated 2021 (5 years in practice)
Group practice Integrated Healthcare Systems Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chantilly