Individual
LISA S KETTERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 GOOSEBERRY LN, ENGLEWOOD, CO 80113-4126
(303) 781-1909
Mailing address
3800 BUCHTEL BOULEVARD, # 100758, DENVER, CO 80250-0758
(303) 781-1909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33071
CO
Other
Enumeration date
06/19/2006
Last updated
06/21/2021
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