Patricia Marie Kettlehake in Coronado - Internal Medicine
Patricia Marie Kettlehake - NPI 1831109982
Patricia Marie Kettlehake is a Internal Medicine in Coronado, California. Patricia Marie Kettlehake practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Patricia Marie Kettlehake is 1831109982. The last update date is 2017-10-19.
Patricia Marie Kettlehake's current location address is 230 Prospect Pl, Coronado, California. You can contact this provider via phone number 6194352670. The mailing address for Patricia Marie Kettlehake is 230 Prospect Pl, Coronado, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Marie Kettlehake |
|---|---|
| Address | 230 Prospect Pl, Coronado, California |
| Phone Number | 6194352670 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1831109982 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2017-10-19 |
Provider Mailing Address Detail
| Address | 230 Prospect Pl |
|---|---|
| City | Coronado |
| State | California (CA) |
| Post Code | 921181978 |
| Phone Number | 6194352670 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A68312 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A683120 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Patricia Marie Kettlehake by the Centers for Medicare & Medicaid Services (CMS)?
The Patricia Marie Kettlehake has been assigned the NPI (National Provider Identifier) 1831109982. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Patricia Marie Kettlehake is located?
The Patricia Marie Kettlehake is situated at the following address: 230 Prospect Pl, Coronado, CA, 921181978.
What is Patricia Marie Kettlehake's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia Marie Kettlehake's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Patricia Marie Kettlehake receive the assignment of its 1831109982 from the Centers for Medicare & Medicaid Services?
The Patricia Marie Kettlehake was issued its 1831109982 by the Centers for Medicare & Medicaid Services on 2006-08-09.
As of what date were the Patricia Marie Kettlehake's details last updated?
The information pertaining to the Patricia Marie Kettlehake, including its address, specialty, and other details, was most recently updated on 2017-10-19.
NPI Number: 1912900614
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