Individual
BRIAN RAYMOND KETTERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1614 E ROYALL PL APT E, MILWAUKEE, WI 53202-1837
(773) 946-0745
Mailing address
1614 E ROYALL PL APT E, MILWAUKEE, WI 53202-1837
(773) 946-0745
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
254949-30
WI
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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