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Individual

DONALD JAMES KETTINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1307 FEDERAL STREET SUITE 101, STEEL CITY ANESTHESIA, LLC, PITTSBURG, PA 15212-4769
(330) 286-5330
Mailing address
471 RUTLEDGE CT, PERRYSBURG, OH 43551-5204
(419) 872-9442

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA02056NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0799177
OH
Enumeration date
02/13/2006
Last updated
04/05/2011
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