Individual
SUSANNAH OKUTORO-KETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8191
Mailing address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8191
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
001399
NY
367A00000X
Advanced Practice Midwife
Primary
R-219830-5
MN
Other
Enumeration date
10/21/2011
Last updated
07/28/2016
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