Lecea A Ketzler, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1885 Issued in ME

Practice address

379 Methodist Rd
Westbrook, ME 04092

Phone

(207) 854-4638

NPI assigned

Aug 17, 2006

Last updated

Sep 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1699888958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040980810",
            "telephone_number": "207-854-1544",
            "fax_number": "207-854-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 METHODIST RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "04092",
            "telephone_number": "207-854-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETZLER",
        "first_name": "LECEA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699888958",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlene M. Kellman, D.O.
• Sophia Kelly, BCBA
• Thomas John Kelly, LADC
• Catherine Ann Kemps, LCSW
• Sherry Kessler
• Jamie Kilton, MOTR/L
• Marc Daniel Kimball, M.D.
• Molly Kinney, LMT
• Brendan P. Kirby, MD
• Charles Kirk, RPH

• Neuromusculoskeletal Medicine & OMM Physician in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.