Individual
AMY KETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 PORTAGE RD STE 400, WOOSTER, OH 44691-1903
(330) 234-5601
(330) 264-0119
Mailing address
1799 PORTAGE RD STE 400, WOOSTER, OH 44691-1903
(330) 234-5601
(330) 264-0119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439057
OH
Other
Enumeration date
11/27/2020
Last updated
11/28/2020
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