Erik Christian Ketelsen, IDC
NPI #1093043051 in Port Hueneme, California
Provider Information
- NPI Number
- 1093043051
- Entity Type
- Individual
- Name
- Erik Christian Ketelsen, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Dec 1, 2009
- Last Updated
- Dec 1, 2009
Practice Location
- Address
- 4653 DOCK RD
- Address 2
- BLDG 524
- City
- Port Hueneme
- State
- California
- ZIP Code
- 93043-4321
- Phone
- (619) 534-7920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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