Individual
RHETT ARTHUR KETSCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(240) 686-2300
Mailing address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(240) 686-2300
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102203955
VA
171000000X
Military Health Care Provider
R4411
TX
207P00000X
Emergency Medicine Physician
Primary
34.014640
OH
208D00000X
General Practice Physician
0102203955
VA
208D00000X
General Practice Physician
R4411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102203955
LICENSE
VA
01
—
R4411
LICENSE
TX
Enumeration date
01/28/2013
Last updated
01/22/2021
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