Ketter, Ivan C

Ketter, Ivan C is an individual health care provider with primary practice located at 2835 Sw Mission Woods Dr , Topeka KS 66614-5616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ketter, Ivan C can be contacted via phone (785) 271-1818.

Contact Information

Primary practice address
2835 Sw Mission Woods Dr Topeka KS 66614-5616
Phone: (785) 271-1818
Fax: (785) 232-0739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 422467 Kansas

Profile Details

NPI number 1194724500
LBN Legal business name Ketter, Ivan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 4th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194724500 NPPES
Kansas MEDICAID 100120190B

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