ERIKA KETTELER M.D. M.A. NPI 1235142449

NPI Information

NPI: 1235142449
Provider Name: ERIKA KETTELER, M.D., M.A.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 265-1711
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Erika Ketteler, M.D., M.A. is a vascular surgery surgery in Albuquerque, NM. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Erika Ketteler, M.D., M.A. NPI is 1235142449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
ZIP 87108-153
Phone: (505) 265-1711
Fax: (505) 256-2811

The enumeration date for this NPI number is 8/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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