Individual
DR. DANIEL KETEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3621
(316) 634-3091
Mailing address
13406 E MUSTANG CIR, WICHITA, KS 67230-7536
(316) 425-8174
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26005
OK
Other
Enumeration date
11/05/2007
Last updated
09/12/2010
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