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
Fax: (319) 236-7739
Website:
Authorized official contact:
Name: Kettman, Matthew J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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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