Individual
DR. SCOTT PHILIP KETTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
217 PLUM ST, SUITE 120, RED WING, MN 55066-2351
(651) 385-5999
(651) 385-5999
Mailing address
16659 KENTUCKY AVE, LAKEVILLE, MN 55044-4616
(952) 898-0696
(651) 385-5999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126667500
—
MN
Enumeration date
01/16/2007
Last updated
03/28/2017
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