Individual
IAN TODD KETTELKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 MARKET ST STE 501, SAN FRANCISCO, CA 94103-1701
(855) 442-5885
Mailing address
945 MARKET ST STE 501, SAN FRANCISCO, CA 94103-1701
(855) 442-5885
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3505454
TX
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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