Paul A Kettler in Burnsville - Internal Medicine
Paul A Kettler - NPI 1235194598
Paul A Kettler is a Internal Medicine in Burnsville, Minnesota. Paul A Kettler practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Paul A Kettler is 1235194598. The last update date is 2019-05-10.
Paul A Kettler's current location address is 201 E Nicollet Blvd, Burnsville, Minnesota. You can contact this provider via phone number 9528922117 and fax number 9528922268. The mailing address for Paul A Kettler is 201 E Nicollet Blvd, Burnsville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul A Kettler |
|---|---|
| Address | 201 E Nicollet Blvd, Burnsville, Minnesota |
| Phone Number | 9528922117 |
| Fax Number | 9528922268 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1235194598 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2019-05-10 |
Provider Mailing Address Detail
| Address | 201 E Nicollet Blvd |
|---|---|
| City | Burnsville |
| State | Minnesota (MN) |
| Post Code | 553371321 |
| Phone Number | 9528922117 |
| Fax Number | 9528922268 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 38222 |
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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 |
|---|---|---|---|
| 1008503 | MN | PREFERRED ONE | |
| 4648605 | MN | AETNA | |
| 08F53KE | MN | BCBS OF MN | |
| HP17709 | MN | HEALTHPARTNERS | |
| 21983 | MN | AMERICA'S PPO | |
| 111163 | MN | UCARE | |
| 400483 | MN | MEDICA | |
| 42717900 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Paul A Kettler by the Centers for Medicare & Medicaid Services?
The Paul A Kettler has been issued the NPI (National Provider Identifier) 1235194598. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paul A Kettler?
The Paul A Kettler is situated at 201 E Nicollet Blvd, in the city of Burnsville, state of MN, with the zip code 553371321.
What is Paul A Kettler's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul A Kettler is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235194598 to Paul A Kettler?
The Centers for Medicare & Medicaid Services originally issued the 1235194598 to Paul A Kettler on 2006-04-19.
As of what date was the information regarding Paul A Kettler, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul A Kettler, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-05-10.
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