Individual
CASSANDRA LYNN KETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
847 NORTH MAIN STREET, MEADVILLE, PA 16335
(814) 337-8762
(814) 337-4462
Mailing address
847 NORTH MAIN STREET, MEADVILLE, PA 16335
(814) 337-8762
(814) 337-4462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056471
PA
363A00000X
Physician Assistant
OA003147
PA
Other
Enumeration date
11/07/2013
Last updated
12/10/2015
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