Individual
DR. LAWRENCE G KETTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 STOCKYARD RD STE I-200, MISSOULA, MT 59808-1548
(406) 728-8420
Mailing address
2825 STOCKYARD RD, BLDG I-200, MISSOULA, MT 59808
(406) 728-8420
(406) 541-8430
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD2016-0071
NM
207L00000X
Anesthesiology Physician
Primary
MED-PHYS-LIC-55728
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MED-PHYS-LIC-55728
MONTANA MEDICAL LICENSE
MT
Enumeration date
05/03/2012
Last updated
07/21/2022
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