Individual
DR. JORDYN TERESE KETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
3804 HILLTOP AVE, WAUSAU, WI 54401-4917
(715) 551-4900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2138440
WI
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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