Donald James Kettinger, CRNA | |
1307 Federal Street Suite 101, Steel City Anesthesia, Llc, Pittsburg, PA 15212-4769 | |
(330) 286-5330 | |
Not Available |
Full Name | Donald James Kettinger |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1307 Federal Street Suite 101, Pittsburg, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548233273 | NPI | - | NPPES |
0799177 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | COA02056NA (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Donald James Kettinger, CRNA 471 Rutledge Ct, Perrysburg, OH 43551-5204 Ph: (419) 872-9442 | Donald James Kettinger, CRNA 1307 Federal Street Suite 101, Steel City Anesthesia, Llc, Pittsburg, PA 15212-4769 Ph: (330) 286-5330 |