Individual
DR. INGRID MARIE KETTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4400 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1758
(314) 487-0636
(314) 487-8819
Mailing address
4400 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1758
(314) 487-0636
(314) 487-8819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2006026109
MO
Other
Enumeration date
09/28/2011
Last updated
02/18/2013
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