Individual
MS. ELLEN MARIE KETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2727 N MAYFAIR RD STE I, WAUWATOSA, WI 53222-4400
(414) 727-0920
Mailing address
2727 N MAYFAIR RD STE I, WAUWATOSA, WI 53222-4400
(414) 727-0910
(414) 727-0920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3840 - 23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942653480
—
WI
Enumeration date
07/20/2016
Last updated
07/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up