Individual
KAREN KETTLETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1668 RESORT ST, BAKER CITY, OR 97814-3940
(541) 893-3090
Mailing address
37629 WOODS LN, RICHLAND, OR 97870-6610
(541) 893-3090
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00947
OR
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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