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

Lattana Tina Kettavong, PHARMD

Individual provider Pharmacist · NPI 1245998996

Lattana Tina Kettavong, PHARMD is a Pharmacist in Clinton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.

Licensed in
CT
In the registry since
2021
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

218 E Main St
Clinton, CT 06413-2230
Phone: (860) 664-4641
Fax: (860) 664-1632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PCT.0015656 (CT)

Record details

NPI number1245998996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

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