Kettor, Benjamin

Kettor, Benjamin is an individual health care provider with primary practice located at 7986 Dagget St , San Diego CA 92111-2321. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Kettor, Benjamin can be contacted via phone (858) 300-0460.

Contact Information

Primary practice address
7986 Dagget St San Diego CA 92111-2321
Phone: (858) 300-0460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1548772981
LBN Legal business name Kettor, Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2017
Last updated Apr 7th, 2025 - about last year

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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