Ketterer, Kyle
Ketterer, Kyle is an individual health care provider with primary practice located at 2100 Madison Ave , Granite City IL 62040-4701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Ketterer, Kyle can be contacted via phone (618) 798-3260.Contact Information
Primary practice address
2100 Madison Ave
Granite City IL 62040-4701
Phone: (618) 798-3260
Fax: (618) 798-3716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 041403323 | Illinois |
Profile Details
| NPI number | 1881513323 |
|---|---|
| LBN Legal business name | Ketterer, Kyle |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2026 |
| Last updated | Aug 5th, 2026 - about 2 months 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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