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Organization
KETTMAN PSYCHIATRIC PRACTICE PC
Active
Organization
KETTMAN PSYCHIATRIC PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ADAME (BILLING ADMIN)
(830) 320-3852
Entity
Organization
Contact information
Practice address
110 PLAZA CIR STE A, WATERLOO, IA 50701-5139
(319) 236-7720
Mailing address
PO BOX 310674, NEW BRAUNFELS, TX 78131-0674
(319) 236-7720
(319) 236-7739
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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