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Individual

BRIAN ROBERT KETTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2960 E NEES AVE, 108, FRESNO, CA 93720-6012
(559) 322-4103
(661) 616-9199
Mailing address
8302 ESPRESSO DR, 100, BAKERSFIELD, CA 93312-5687
(661) 377-1700
(661) 616-9199

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37421
CA

Other

Enumeration date
01/05/2011
Last updated
08/08/2014
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