Individual
MS. PATRICIA S KETTREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC
Contact information
Practice address
1708 SOUTHPOINT DR, CLEVELAND, OH 44109-1911
(216) 787-0840
(216) 787-0840
Mailing address
30 E BROAD ST, 11TH FLOOR, COLUMBUS, OH 43215-3414
(604) 466-6583
(614) 644-5331
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN241136
OH
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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