Search › Connecticut › 208600000X
Shawna Kettyle, M.D
NPI 1811253321 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2800 Main St Dept Of
Bridgeport, CT 06606 - Phone
- (203) 576-6000
- Organisation at this address
- Svmc Holdings, Inc
Svmc Holdings, Inc
Svmc Holdings, Inc
Svmc Holdings, Inc
Saint Vincent HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 461
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut