# ELLEN L KETTERLING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245323930
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 5100 | ND | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10782 | ND BC/BS | — |
| 05 | — | 14662 | — | ND |
| 01 | — | 33921 | SIOUX VALLEY | — |
| 05 | — | 7705170 | — | SD |