Ernest John Kettig
NPI #1689968927 in Taylorsville, Kentucky
Provider Information
- NPI Number
- 1689968927
- Entity Type
- Organization
- Organization Name
- Ernest John Kettig
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 3, 2011
- Last Updated
- Jun 3, 2011
Practice Location
- Address
- 206A TAYLORSVILLE RD
- City
- Taylorsville
- State
- Kentucky
- ZIP Code
- 40071-8724
- Phone
- (502) 354-9400
Authorized Official
- Name
- ROBERT JEFF ROSS
- Title
- VP
- Phone
- (502) 354-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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