Individual
DR. REID S KETTELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5363 ROBERTS ST, SHAWNEE, KS 66226-3938
(913) 422-8929
(913) 422-0061
Mailing address
5363 ROBERTS ST, SHAWNEE, KS 66226-3938
(913) 422-8929
(913) 422-0061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4670
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27843012
BCBS
MO
01
—
452211
BCBS
KS
01
—
629155
UHC
—
01
—
7811171
AETNA
—
Enumeration date
09/07/2006
Last updated
11/02/2016
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