Kettman Pranger Family Medicine, Pllc | |
220 Southbrooke Dr Waterloo IA 50702-5802 | |
(319) 236-7720 | |
(319) 236-7739 |
Full Name | Kettman Pranger Family Medicine, Pllc |
---|---|
Speciality | Family Medicine |
Location | 220 Southbrooke Dr, Waterloo, Iowa |
Authorized Official Name and Position | Matthew J Kettman (OWNER) |
Authorized Official Contact | 3192367720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kettman Pranger Family Medicine, Pllc Po Box 658 Waterloo IA 50704-0658 Ph: (319) 236-7720 | Kettman Pranger Family Medicine, Pllc 220 Southbrooke Dr Waterloo IA 50702-5802 Ph: (319) 236-7720 |
NPI Number | 1902124175 |
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Provider Enumeration Date | 05/12/2010 |
Last Update Date | 08/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902124175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33683 (Iowa) | Primary |
News Archive
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