Individual
KATIE KETTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
372 PROSPECT AVE, BUFFALO, NY 14201-1748
(716) 799-9806
Mailing address
372 PROSPECT AVE, BUFFALO, NY 14201-1748
(716) 799-9806
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
659695-1
NY
Other
Enumeration date
07/26/2015
Last updated
07/26/2015
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