Paul A Kettl is a Psychiatry in Lancaster, Pennsylvania. Paul A Kettl practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Paul A Kettl is 1124018254. The last update date is 2007-08-19.
Paul A Kettl's current location address is 802 New Holland Ave, Lancaster, Pennsylvania. You can contact this provider via phone number 7175603782 and fax number 7175603787. The mailing address for Paul A Kettl is 802 New Holland Ave, Lancaster, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul A Kettl |
|---|---|
| Address | 802 New Holland Ave, Lancaster, Pennsylvania |
| Phone Number | 7175603782 |
| Fax Number | 7175603787 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124018254 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2007-08-19 |
Provider Mailing Address Detail
| Address | 802 New Holland Ave |
|---|---|
| City | Lancaster |
| State | Pennsylvania (PA) |
| Post Code | 176022163 |
| Phone Number | 7175603782 |
| Fax Number | 7175603787 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD036495E |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50048776 | PA | CAPITAL BLUE CROSS | |
| 100774 | PA | VALUE OPTIONS | |
| 10554330003 | PA | -- | |
| 427936 | PA | HIGHMARK BLUE SHIELD | |
| 10554330001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul A Kettl by the Centers for Medicare & Medicaid Services?
The Paul A Kettl has been issued the NPI (National Provider Identifier) 1124018254, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Paul A Kettl is geographically located?
The Paul A Kettl is physically situated at the following location: 802 New Holland Ave, Lancaster, PA, 176022163.
What is Paul A Kettl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul A Kettl is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Paul A Kettl receive the assignment of its 1124018254 from the Centers for Medicare & Medicaid Services?
The Paul A Kettl was issued its 1124018254 by the Centers for Medicare & Medicaid Services on 2005-10-28.
When was the information pertaining to Paul A Kettl most recently updated or revised?
The details related to Paul A Kettl, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-19.