Individual
KARI MICHELLE KETVERTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
808 S MAIN ST, HURON, OH 44839
(419) 433-6117
(419) 433-7226
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-086419
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2599700
—
OH
01
—
P00639734
RAILROAD MEDICARE
OH
Enumeration date
02/02/2006
Last updated
04/22/2013
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