NPI

Yvonne Antoinette Kettels

NPI 1013880756

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2025-09-29
Last updated
2025-09-29

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Specialties

Licenses

License RI
DACMOO119

Location

Practice location
64 Crescent St
City
Providence RI
Postal code
02907-3237
Phone
(401) 533-3832

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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