Individual
ASHLEY KETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2211 E NORTHERN LIGHTS BLVD STE 202, ANCHORAGE, AK 99508
(949) 607-9964
Mailing address
2211 E NORTHERN LIGHTS BLVD STE 202, ANCHORAGE, AK 99508-4130
(949) 607-9964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14625
CA
152W00000X
Optometrist
Primary
OPTT340
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625251
—
AK
Enumeration date
07/11/2013
Last updated
12/06/2018
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