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Kyle Kettler
Student in an Organized Health Care Education/Training Program in Lakewood, Ohio
NPI 1457093577

Kyle Kettler is a Student in an Organized Health Care Education/Training Program based in Harrisburg, OH. Kyle Kettler practices in Lakewood, OH. The NPI Number for Kyle Kettler is 1457093577 and holds a License No. (Ohio).

The current practice location address for Kyle Kettler is 14601 Detroit Ave, Lakewood, OH and can be reached out via phone at 216-237-5500.

Location: 14601 Detroit Ave, Lakewood, OH, 17111-5049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457093577
Provider Name
Kyle Kettler
Credential
Provider Entity Type
Individual
Gender
Male
Address
14601 Detroit Ave, Lakewood, OH, 17111-5049
Phone Number
216-237-5500
Fax Number
Provider Enumeration Date
04/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14601 Detroit Ave
City
Lakewood
State
Ohio
Zip
44107-4205
Phone Number
216-237-5500
Fax Number
person
Provider Business Mailing Address Details
Address
14601 Detroit Ave
City
Lakewood
State
Ohio
Zip
44107-4205
Phone Number
216-237-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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