# KETTMAN PSYCHIATRIC PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477460020
- **Authorized official:** KIMBERLY ADAME (BILLING ADMIN)
- **Authorized official phone:** (830) 320-3852

## Contact information

- **Practice address:** 110 PLAZA CIR STE A, WATERLOO, IA 50701-5139
- **Practice address phone:** (319) 236-7720
- **Mailing address:** PO BOX 310674, NEW BRAUNFELS, TX 78131-0674
- **Mailing address phone:** (319) 236-7720
- **Mailing address fax:** (319) 236-7739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2026
- **Last updated:** 08/27/2026