Individual
DR. CHRISTIAN JAY KETTERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
667 E 9000 S, SANDY, UT 84070-2424
(801) 255-9699
(801) 519-3477
Mailing address
667 E 9000 S, SANDY, UT 84070-2424
(801) 255-9699
(801) 519-3477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9366671
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9366671
REGISTERED PHARMACIST
UT
Enumeration date
04/06/2020
Last updated
04/06/2020
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