Individual
JERRI LYN KETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
FORT HARRISON VAMC, 1892 WILLIAMS STREET, FORT HARRISON, MT 59636
(406) 447-7596
(409) 447-7965
Mailing address
17 BRIDGER MT ROAD SOUTH, CLANCY, MT 59634
(406) 443-0140
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
MT
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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