Ketler, Patricia

Ketler, Patricia is an individual health care provider with primary practice located at 104 Plumtree Rd Suite 115, Bel Air MD 21015-6095. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ketler, Patricia can be contacted via phone (410) 515-4300.

Contact Information

Primary practice address
104 Plumtree Rd Suite 115 Bel Air MD 21015-6095
Phone: (410) 515-4300
Fax: (410) 515-4318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R053356 Maryland

Profile Details

NPI number 1629094404
LBN Legal business name Ketler, Patricia
Credentials RN, MSN, APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 9th, 2007 - about 17 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 1629094404 NPPES
Maryland MEDICAID 521304500
Maryland Other 039889
Maryland Other 250391
Maryland MEDICAID 93119
Maryland Other 0016
Maryland Other 110835
Maryland Other 691571
Maryland Other 61318201

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