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Cheryl Ketelsen
Medical Physician Assistant in San Luis Obispo, California
NPI 1770938532

Cheryl Ketelsen is a Medical Physician Assistant based in San Luis Obispo, CA and is specialized in Medical. Cheryl Ketelsen practices in San Luis Obispo, CA. The NPI Number for Cheryl Ketelsen is 1770938532 and holds a License No. 53363 (California).

The current practice location address for Cheryl Ketelsen is 15 Santa Rosa St, San Luis Obispo, CA and can be reached out via phone at 805-541-2650 and via fax at 805-541-4043.

Location: 15 Santa Rosa St, San Luis Obispo, CA, 93405-1811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770938532
Provider Name
Cheryl Ketelsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Santa Rosa St, San Luis Obispo, CA, 93405-1811
Phone Number
805-541-2650
Fax Number
805-541-4043
Provider Enumeration Date
04/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Santa Rosa St
City
San Luis Obispo
State
California
Zip
93405-1811
Phone Number
805-541-2650
Fax Number
805-541-4043
person
Provider Business Mailing Address Details
Address
15 Santa Rosa St
City
San Luis Obispo
State
California
Zip
93405-1811
Phone Number
805-541-2650
Fax Number
805-541-4043
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
53363 (California)
Definition
Definition to come...
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