Jeffrey Judge Ketzle in Plano - Acute Care
Jeffrey Judge Ketzle - NPI 1972691004
Jeffrey Judge Ketzle is a Acute Care in Plano, Texas. Jeffrey Judge Ketzle practices all healthcare services and medical treatments related to Acute Care. The NPI Number for Jeffrey Judge Ketzle is 1972691004. The last update date is 2022-01-13.
Jeffrey Judge Ketzle's current location address is 4708 Alliance Blvd, Plano, Texas. You can contact this provider via phone number 9729648500. The mailing address for Jeffrey Judge Ketzle is 4708 Alliance Blvd, Plano, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Judge Ketzle |
|---|---|
| Address | 4708 Alliance Blvd, Plano, Texas |
| Phone Number | 9729648500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | A.C.N.P. |
NPI Number Detail
| NPI Number | 1972691004 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2022-01-13 |
Provider Mailing Address Detail
| Address | 4708 Alliance Blvd |
|---|---|
| City | Plano |
| State | Texas (TX) |
| Post Code | 750935340 |
| Phone Number | 9729648500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Acute Care |
|---|---|
| Taxonomy | 363La2100X |
| Licence No | 709638 |
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Definition: An advanced practice registered nurse expert in providing care to adults and older children with complex acute, critical, and chronic health conditions. |
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What is the unique 10-digit identification code assigned to Jeffrey Judge Ketzle by the Centers for Medicare & Medicaid Services?
The Jeffrey Judge Ketzle has been issued the NPI (National Provider Identifier) 1972691004, which 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 Jeffrey Judge Ketzle?
The Jeffrey Judge Ketzle is situated at 4708 Alliance Blvd, in the city of Plano, state of TX, with the zip code 750935340.
What is the Jeffrey Judge Ketzle's specialty and taxonomy code?
The Jeffrey Judge Ketzle's specialty is Acute Care, and the corresponding taxonomy code is 363La2100X.
On what date did the Jeffrey Judge Ketzle receive its 1972691004 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Judge Ketzle was assigned its 1972691004 by the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date was the information regarding Jeffrey Judge Ketzle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Judge Ketzle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-13.