Shawn Kettyle
Shawn Kettyle is a Skilled Nursing Facility in Willow Grove, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2014
Practice location Address checks out
1113 Easton RdWillow Grove, PA 19090-1901
Phone: (215) 659-3060
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Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X (PA) |
|---|
Record details
| NPI number | 1134527369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 22, 2014 |
| Last updated in NPPES | December 22, 2014 |
| Mailing address | 10225 Jamison Ave, Philadelphia, PA 19116-3833 |
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