Kettman Pranger Family Medicine, Pllc
LBN: Kettman Pranger Family Medicine, Pllc
Kettman Pranger Family Medicine, Pllc is an health care organization with primary practice located at 220 Southbrooke Dr , Waterloo IA 50702-5802. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Kettman Pranger Family Medicine, Pllc can be contacted via phone (319) 236-7720, or through Kettman, Matthew J via phone (319) 236-7720.
Contact Information
Primary practice address
220 Southbrooke Dr
Waterloo IA 50702-5802
Phone: (319) 236-7720
Fax: (319) 236-7739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33683 | Iowa |
Profile Details
| NPI number | 1902124175 |
|---|---|
| LBN Legal business name | Kettman Pranger Family Medicine, Pllc |
| DBA Doing business as | |
| Authorized official | Kettman, Matthew J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2010 |
| Last updated | Aug 13th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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