Kam Demar Kettering, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC003259L Issued in PA

Practice address

2285 Willow Street Pike
Lancaster, PA 17602-4839

Phone

(717) 464-0006

Fax

(717) 464-1038

NPI assigned

Nov 29, 2006

Last updated

Jul 9, 2007By 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

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871660860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 WILLOW STREET PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024839",
            "telephone_number": "717-464-0006",
            "fax_number": "717-464-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 WILLOW STREET PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024839",
            "telephone_number": "717-464-0006",
            "fax_number": "717-464-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERING",
        "first_name": "KAM",
        "middle_name": "DEMAR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC003259L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Ruth Kessler
• Erik F Ketels, MD
• Kettering Group Inc. (Kettering Chiropractic Health Center)
• Andrew R Kettering, D.C.
• Barbara Terrill Kettering, PSYD
• Richard L. Kettering, D.C.
• Paul A Kettl, M.D.
• Aliya Keyes
• Denise Michele Keyser
• Cynthia Ann Keysock, LPN

• Rehabilitation Chiropractor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.