Individual
KAETE ALEXANDRA ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9868 FL-7, SUITE 345, BOYNTON BEACH, FL 33472
(561) 737-8584
Mailing address
640 E MICHIGAN ST APT B430, INDIANAPOLIS, IN 46202-0016
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01075043A
IN
207Y00000X
Otolaryngology Physician
35140196
OH
207Y00000X
Otolaryngology Physician
Primary
ME128043
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
01075043A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063220091
MEDICARE PTAN
IN
Enumeration date
05/28/2010
Last updated
07/16/2024
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