Individual
JAMES KETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
305 S 5TH ST, ENID, OK 73701-5832
(580) 233-6100
Mailing address
305 S 5TH ST, ENID, OK 73701-5832
(580) 233-6100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN71292
OK
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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