Mackenzie Rae Ketterhagen, PA-C
NPI #1821979519 in Chesterton, Indiana
Provider Information
- NPI Number
- 1821979519
- Entity Type
- Individual
- Name
- Mackenzie Rae Ketterhagen, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Sep 9, 2025
- Last Updated
- Sep 9, 2025
Practice Location
- Address
- 601 GATEWAY BLVD N
- City
- Chesterton
- State
- Indiana
- ZIP Code
- 46304-9658
- Phone
- (219) 921-1444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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