Organization
ERNEST JOHN KETTIG
Active
Other names
Kettig Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JEFF ROSS (VP)
(502) 354-9400
Entity
Organization
Contact information
Practice address
206A TAYLORSVILLE RD, TAYLORSVILLE, KY 40071-8724
(502) 354-9400
(502) 354-9401
Mailing address
206A TAYLORSVILLE RD, TAYLORSVILLE, KY 40071-8724
(502) 354-9400
(502) 354-9401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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