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Individual

LARRY KETTLEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1714 SW 17TH ST, OCALA, FL 34471-1227
(352) 274-9900
Mailing address
8303 SW 82ND CIR, OCALA, FL 34481-5539

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS12391
FL

Other

Enumeration date
07/11/2006
Last updated
01/24/2020
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