Organization Active NPI

William W. Kettunen, M.D. LLC

  • Surgery Physician
  • Enterprise, AL
National Provider Identifier
1255763348
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD32691 Issued in AL
Legal business name
WILLIAM W. KETTUNEN, M.D. LLC
Practice address
101 E Brunson St
Suite 110
Enterprise, AL 36330-2526
Phone
(334) 347-9355
NPI assigned
Jul 31, 2013
Last updated
Jul 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
William W Kettunen
Title
MD
Phone
(334) 347-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD32691 AL Primary

Addresses

Primary practice location

101 E Brunson St
Suite 110
Enterprise, AL 36330-2526

Mailing address

101 E Brunson St
Suite 110
Enterprise, AL 36330-2526
Phone (334) 347-9355

National Provider Directory

National Provider Directory

Locations

101 E Brunson St
Ste 110
Enterprise, AL 36330
Phone (334) 347-9355

Interoperability endpoints

  • Direct secure messaging: drwill@kettunen.kareodirect.com

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1255763348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "SUITE 110",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302526",
            "telephone_number": "334-347-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "SUITE 110",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302526",
            "telephone_number": "334-347-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM W. KETTUNEN, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "KETTUNEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "334-347-9355"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD32691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.