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Organization

ASHLEY KETTLER, OD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY KETTLER (MEMBER)
(949) 607-9964
Entity
Organization

Contact information

Practice address
2211 E NORTHERN LIGHTS BLVD STE 202, ANCHORAGE, AK 99508-4130
(949) 607-9964
Mailing address
2211 E NORTHERN LIGHTS BLVD STE 202, ANCHORAGE, AK 99508-4130
(949) 607-9964

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1625251
AK
Enumeration date
12/06/2018
Last updated
12/06/2018
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