Heather Kettenis in Santa Monica - Family Medicine
Heather Kettenis - NPI 1558557694
Heather Kettenis is a Family Medicine in Santa Monica, California. Heather Kettenis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Heather Kettenis is 1558557694. The last update date is 2007-09-21.
Heather Kettenis's current location address is 1920 Colorado Ave, Santa Monica, California. You can contact this provider via phone number 3103194700. The mailing address for Heather Kettenis is 1920 Colorado Ave, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Kettenis |
|---|---|
| Address | 1920 Colorado Ave, Santa Monica, California |
| Phone Number | 3103194700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558557694 |
|---|---|
| Provider Enumeration Date | 2007-09-21 |
| Last Updated Date | 2007-09-21 |
Provider Mailing Address Detail
| Address | 1920 Colorado Ave |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904043414 |
| Phone Number | 3103194700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A99825 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Heather Kettenis?
The Heather Kettenis has been issued the NPI (National Provider Identifier) 1558557694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Heather Kettenis is physically located?
The Heather Kettenis is situated at the following address: 1920 Colorado Ave, Santa Monica, CA 904043414.
What is Heather Kettenis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Heather Kettenis is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Heather Kettenis receive its 1558557694 assignment from the Centers for Medicare & Medicaid Services?
The Heather Kettenis was assigned its 1558557694 by the Centers for Medicare & Medicaid Services on 2007-09-21.
When was the information regarding Heather Kettenis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Heather Kettenis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-21.