Individual
KATIE ANN KETTELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 476-4701
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 476-4701
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1003
WI
Other
Enumeration date
10/22/2019
Last updated
02/23/2023
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