Individual
MRS. RACHEL ANN LONGAWA KETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 942-5828
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004728
IL
363A00000X
Physician Assistant
3133-23
WI
Other
Enumeration date
07/03/2013
Last updated
06/25/2025
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