Individual
DR. JACOB K KETTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCOP
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 884-6399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007028941
MO
Other
Enumeration date
12/14/2007
Last updated
06/17/2015
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