William Kettunen, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD32691 Issued in AL

Practice address

806 Glover Ave
Suite B
Enterprise, AL 36330-2018

Phone

(334) 489-4649

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1235396177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GLOVER AVE",
            "address_2": "SUITE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302018",
            "telephone_number": "334-489-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 GLOVER AVE",
            "address_2": "SUITE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302018",
            "telephone_number": "334-489-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTUNEN",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD32691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anabeth Gilley Kendrick, M.S., CCC-SLP
• Amy B Kennedy, AUDIOLOGIST
• Kenneth W Chancey DMD LLC
• Bailey Renate Kennington
• Leeann McAliley Kettunen, MD
• Leah Kidd, LMT
• Levi J King, FNP-C
• Stephanie Ann Kraczkowski, MED
• John Andrew Kreisberg, MD
• Kristin Huebner-SLP, LLC

• Surgery Physician in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.