Individual
SAMUEL JAMES KETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
450 W CENTRAL PKWY STE 1000, ALTAMONTE SPRINGS, FL 32714-2433
(321) 397-2699
(407) 926-0500
Mailing address
450 W CENTRAL PKWY STE 1000, ALTAMONTE SPRINGS, FL 32714-2433
(321) 397-2699
(407) 926-0500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4304
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
06/26/2019
Last updated
03/14/2023
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