Individual
DR. DEBORAH JEAN KETTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
4361 TALBOT RD S, SUITE 101, RENTON, WA 98055-6226
(425) 271-1351
(425) 271-1368
Mailing address
4361 TALBOT RD S, SUITE 101, RENTON, WA 98055-6226
(425) 271-1351
(425) 271-1368
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000470
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106186
—
WA
Enumeration date
11/14/2006
Last updated
07/08/2007
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