Ronald R Ketelsen in Salt Lake City - Physician Assistant
Ronald R Ketelsen - NPI 1659458339
Ronald R Ketelsen is a Physician Assistant in Salt Lake City, Utah. Ronald R Ketelsen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ronald R Ketelsen is 1659458339. The last update date is 2007-07-08.
Ronald R Ketelsen's current location address is Po Box 510721, Salt Lake City, Utah. You can contact this provider via phone number 8015876600. The mailing address for Ronald R Ketelsen is Po Box 510721, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ronald R Ketelsen |
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Address | Po Box 510721, Salt Lake City, Utah |
Phone Number | 8015876600 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1659458339 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 510721 |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841510721 |
Phone Number | 8015876600 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 102163-1206 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Ronald R Ketelsen by the Centers for Medicare & Medicaid Services?
The Ronald R Ketelsen has been assigned the NPI (National Provider Identifier) 1659458339 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Ronald R Ketelsen is physically located?
The Ronald R Ketelsen is physically situated at the following address: Po Box 510721, Salt Lake City, UT, 841510721.
What is Ronald R Ketelsen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ronald R Ketelsen is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1659458339 assigned to Ronald R Ketelsen?
The Ronald R Ketelsen was issued its 1659458339 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Ronald R Ketelsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ronald R Ketelsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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