Individual
WILLIAM F KETTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
(802) 447-1686
Mailing address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
(802) 447-1686
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0420006531
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005117
—
VT
01
—
18154
MVP
VT
01
—
200010961
RAILROAD MEDICARE/ PALMETTO
VT
01
—
ORTHO5117
BCBS
VT
Enumeration date
08/26/2005
Last updated
10/08/2008
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