Emile Delano Kettle Sr., P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02461 Issued in TX

Practice address

440 Rayford Rd
Suite 125
Spring, TX 77386-4168

Phone

(281) 419-5544

Fax

(281) 298-3483

NPI assigned

Feb 22, 2007

Last updated

Oct 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Horizons Medical Clinic, Spring PLLC

  • Exclusive Provider Organization
  • Spring, TX
  • NPI 1548547771
  Authorized official Same address or phone

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1528193455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RAYFORD RD",
            "address_2": "SUITE 125",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864168",
            "telephone_number": "281-419-5544",
            "fax_number": "281-298-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 RAYFORD RD",
            "address_2": "SUITE 125",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864168",
            "telephone_number": "281-419-5544",
            "fax_number": "281-298-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLE",
        "first_name": "EMILE",
        "middle_name": "DELANO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Keresztury, COTA
• Alejandra Itzel Keron
• Wendy Dorfman Kerth, RPH
• Mikhail Kesler
• Megan Ann Kettle-Savre, COTA/L
• Alicia Kettler, SLP
• Tariq Hanna Khalaf, MD
• Abraham K. Khalil, MD
• Ahmad Khalil, DDS
• Dena Khalil, NP

• Physician Assistant in Spring, TX
• Providers in Spring, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.