Petra Ketterl in Tulsa - Specialist

Petra Ketterl - NPI 1902867534

Petra Ketterl is a Specialist in Tulsa, Oklahoma. Petra Ketterl practices all healthcare services and medical treatments related to Specialist. The NPI Number for Petra Ketterl is 1902867534. The last update date is 2007-07-09.

Petra Ketterl's current location address is 10109 E 79th St, Tulsa, Oklahoma. You can contact this provider via phone number 8477464358. The mailing address for Petra Ketterl is 10109 E 79th St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Petra Ketterl
Address 10109 E 79th St, Tulsa, Oklahoma
Phone Number 8477464358
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1902867534
Provider Enumeration Date 2006-03-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 10109 E 79th St
City Tulsa
State Oklahoma (OK)
Post Code 741334564
Phone Number 8477464358
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Petra Ketterl

What is the unique 10-digit identifier code issued to Petra Ketterl by the Centers for Medicare & Medicaid Services?

The Petra Ketterl has been assigned the NPI (National Provider Identifier) 1902867534 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Petra Ketterl is physically located?

The Petra Ketterl is physically situated at the following address: 10109 E 79Th St, Tulsa, OK, 741334564.

What is Petra Ketterl's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Petra Ketterl is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did Petra Ketterl receive its 1902867534 assignment from the Centers for Medicare & Medicaid Services?

The Petra Ketterl was assigned its 1902867534 on 2006-03-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Petra Ketterl most recently updated or revised?

The details related to Petra Ketterl, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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