Individual
ELAINE KETNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-A
Contact information
Practice address
1202 CALIFORNIA ST, COLUMBUS, IN 47201-5841
(812) 376-6593
(812) 375-9368
Mailing address
1202 CALIFORNIA STREET, COLUMBUS, IN 47201
(812) 376-6593
(812) 375-9368
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001876A
IN
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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