Individual
DR. GERALD MAX KETNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1139 N LOOP 340, WACO, TX 76705-2486
(254) 799-8343
(254) 799-1922
Mailing address
1139 N LOOP 340, WACO, TX 76705-2486
(254) 799-8343
(254) 799-1922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019846-01
—
TX
Enumeration date
07/28/2005
Last updated
03/14/2019
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