Individual
KETERI M. FLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2635 LOUISIANA RD, OTTAWA, KS 66067-8987
(785) 242-3773
Mailing address
2635 LOUISIANA RD, OTTAWA, KS 66067-8987
(785) 242-3773
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
04-33812
KS
208D00000X
General Practice Physician
G61744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G617440
—
CA
Enumeration date
11/17/2006
Last updated
10/07/2009
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