Individual
MRS. DONNA LYNNE KETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH. , M.S.
Contact information
Practice address
1920 WASHBURN WAY, KLAMATH FALLS, OR 97603
(541) 882-7714
(866) 270-6042
Mailing address
3920 CORONADO WAY, KLAMATH FALLS, OR 97603
(541) 536-4129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6032
OR
Other
Enumeration date
07/23/2006
Last updated
01/22/2013
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