Individual
ALEXANDER KETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4345 US 9, FREEHOLD, NJ 07728-4215
(732) 431-5300
Mailing address
69 SPRUCE MILL LN, SCOTCH PLAINS, NJ 07076-3170
(908) 242-2488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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