Tyson J Ketelsen is a Pharmacist in Iowa City, Iowa. Tyson J Ketelsen practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Tyson J Ketelsen is 1295863546. The last update date is 2008-07-20.
Tyson J Ketelsen's current location address is 1720 Waterfront Dr, Iowa City, Iowa. You can contact this provider via phone number 3193547121 and fax number 3193547025. The mailing address for Tyson J Ketelsen is 1720 Waterfront Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyson J Ketelsen |
|---|---|
| Address | 1720 Waterfront Dr, Iowa City, Iowa |
| Phone Number | 3193547121 |
| Fax Number | 3193547025 |
| Sole Proprietor | N |
| Credentials | PHARMD. |
NPI Number Detail
| NPI Number | 1295863546 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2008-07-20 |
Provider Mailing Address Detail
| Address | 1720 Waterfront Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522404414 |
| Phone Number | 3193547121 |
| Fax Number | 3193547025 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | IA19828 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique identification code assigned to Tyson J Ketelsen by the Centers for Medicare & Medicaid Services?
The Tyson J Ketelsen has been issued the NPI (National Provider Identifier) 1295863546. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tyson J Ketelsen located?
The Tyson J Ketelsen is located at 1720 Waterfront Dr, Iowa City, IA 522404414.
What is Tyson J Ketelsen's area of expertise and its corresponding taxonomy classification?
The Tyson J Ketelsen's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When was the Tyson J Ketelsen's 1295863546 issued?
The Tyson J Ketelsen's 1295863546 was issued on 2007-03-01.
As of what date were the Tyson J Ketelsen's details last updated?
The information pertaining to the Tyson J Ketelsen, including its address, specialty, and other details, was most recently updated on 2008-07-20.