Kettl, Paul A

Kettl, Paul A is an individual health care provider with primary practice located at 802 New Holland Ave , Lancaster PA 17602-2163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kettl, Paul A can be contacted via phone (717) 560-3782.

Contact Information

Primary practice address
802 New Holland Ave Lancaster PA 17602-2163
Phone: (717) 560-3782
Fax: (717) 560-3787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD036495E Pennsylvania

Profile Details

NPI number 1124018254
LBN Legal business name Kettl, Paul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 19th, 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 1124018254 NPPES
Pennsylvania Other 50048776 CAPITAL BLUE CROSS
Pennsylvania Other 100774 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 0010554330003 CAPITAL BLUE CROSS
Pennsylvania Other 427936 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 0010554330001 CAPITAL BLUE CROSS

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