Individual
DR. KATHRYN DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
3411 AIRPORT RD, PORTAGE, IN 46368-5107
(219) 763-3311
Mailing address
3411 AIRPORT RD, PORTAGE, IN 46368-5107
(219) 763-3311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24007755A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076262
FEDERAL LICENSE
—
01
—
24007755A
VETERINARY LICENSE
IN
01
—
258557
AVMA
—
Enumeration date
01/19/2017
Last updated
03/07/2023
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