Ivan C Ketter MD

NPI 1194724500 - Family Medicine - 207Q00000X

NPI Details
NPI 1194724500
Gender Male
Enumeration Date 07/18/2005
Last Updated 03/04/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
TOPEKA KS, 66614-5616, US
Phone (785) 271-1818
Fax (785) 232-0739
Business Location
PO BOX 1657
TOPEKA KS, 66601-1657, US
Phone (785) 295-8108
Fax (785) 231-5991
Taxonomy Code 207Q00000X
License State Kansas
License Number 422467
Remove 1194724500 NPI Number

According to our database, Ivan C Ketter MD NPI is 1194724500, taxonomy code is 207Q00000X and license number is 422467, license state is located at Kansas. Ivan C Ketter MD physically located at 2835 Sw Mission Woods Dr, Topeka KS, 66614-5616. NPI Number Ivan C Ketter MD has the Individual type.

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1194724500 NPI number is provided on an as is basis without warranty of any kind. 1194724500 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan C Ketter MD are for informational purposes only.