Individual
JEFFREY JUDGE KETZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.C.N.P.
Contact information
Practice address
4708 ALLIANCE BLVD, SUITE 475, PLANO, TX 75093-5340
(972) 964-8500
Mailing address
4537 ELDORADO DR, PLANO, TX 75093-5406
(972) 867-0129
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
709638
TX
Other
Enumeration date
10/11/2006
Last updated
01/13/2022
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