Andrew Kettner
Family Medicine in Wichita, KS. Individual provider (NPI-1).
NPI number1164089660
StatusActive
Last updated in NPPESMay 21, 2019
Details
- NPI
- 1164089660
- Entity type
- Individual (NPI-1)
- Name
- Andrew Kettner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2019
- Last updated
- May 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 94-09814 | KS | Yes |
Practice location
1010 N Kansas StWichita, KS 67214-3124
Phone 316-293-2665
Mailing address
1010 N Kansas StWichita, KS 67214-3124
Phone 316-293-2665
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