Kettley, John

Kettley, John is an sole proprietor health care provider with primary practice located at 1221 W North Territorial Rd , Ann Arbor MI 48105-9222. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kettley, John can be contacted via phone (734) 358-7116.

Contact Information

Primary practice address
1221 W North Territorial Rd Ann Arbor MI 48105-9222
Phone: (734) 358-7116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801010281 Michigan
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 6801010281 Michigan

Profile Details

NPI number 1942741301
LBN Legal business name Kettley, John
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2017
Last updated Mar 17th, 2017 - about 7 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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