Mr Larry David Ketner, DPM is a
Podiatrist based in Peru, Illinois. Mr Larry David Ketner is licensed to practice in Illinois (license number 016004241) and his current practice location is
2011 Rock St, Suite D1, Peru, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 224-3933.
NPI number for Mr Larry David Ketner is 1407955487 and his current mailing address is 2011 Rock St, Suite D1, Peru, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407955487.
Healthcare Provider's Profile
Full Name | Mr Larry David Ketner |
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Gender | Male |
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Speciality | Podiatrist |
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Location | 2011 Rock St, Peru, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407955487
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 11/01/2018
Medical Identifiers
Medical identifiers for Mr Larry David Ketner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407955487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 016004241 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry David Ketner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Larry David Ketner, DPM 2011 Rock St, Suite D1, Peru, IL 61354 Ph: (815) 224-3933 | Mr Larry David Ketner, DPM 2011 Rock St, Suite D1, Peru, IL 61354 Ph: (815) 224-3933 |
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