Individual
LIA R KETTENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 269-5092
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 269-5092
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01063824A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01063824A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200871370A
—
IN
Enumeration date
05/21/2007
Last updated
03/05/2024
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