| 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 |
|---|---|
| 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 |
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