Individual
PAUL A KETTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 NEW HOLLAND AVE, LANCASTER, PA 17602-2163
(717) 560-3782
(717) 560-3787
Mailing address
802 NEW HOLLAND AVE, LANCASTER, PA 17602-2163
(717) 560-3782
(717) 560-3787
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD036495E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010554330001
—
PA
05
—
0010554330003
—
PA
01
—
100774
VALUE OPTIONS
PA
01
—
427936
HIGHMARK BLUE SHIELD
PA
01
—
50048776
CAPITAL BLUE CROSS
PA
Enumeration date
10/28/2005
Last updated
08/19/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us