Individual
KATIE ANN KETTELKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3730 1ST AVE NE, CEDAR RAPIDS, IA 52402-6106
(319) 362-2313
Mailing address
616 DOE AVE, TIFFIN, IA 52340-4763
(515) 240-3598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10231
IA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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