GARRY KETLER (NPI# 1851623458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851623458 |
Entity Type | Individual |
Full Name | GARRY KETLER |
Practice Address |
10 E Ilex Ct Milliken CO 80543-9112 |
Practice Telephone | 9705875520 |
Mailing Telephone | 9705875520 |
Enumeration Date | 2010-02-05 |
Last Update Date | 2010-02-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers | ||
N | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
10 E ILEX CT |
City | MILLIKEN |
State | CO |
Zip Code | 80543-9112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659610327 | Krystle Mason | Massage Therapist | 112 N Irene Ave, Unit A, Milliken, CO 80543-0189 | 2013-01-31 |
1124372834 | Mindy Wakeman | Specialist/Technologist, Other | 592 Traildust Dr, Milliken, CO 80543-3030 | 2012-11-01 |
1467809657 | Mountain View Neurocare, LLC | Specialist/Technologist, Other | 592 Traildust Dr, Milliken, CO 80543-3030 | 2016-05-18 |
1386004802 | Paramount Iom, LLC | Specialist/Technologist, Other | 592 Traildust Dr, Milliken, CO 80543-3030 | 2016-02-25 |
1083087282 | Shawn Alexander Miller | Physical Medicine & Rehabilitation | 822 Carriage Dr, Milliken, CO 80543-3099 | 2015-11-10 |
1295731297 | Brad L Cranwell | Chiropractor | 110 Traders Ln, Milliken, CO 80543-3152 | 2005-06-23 |
1265995898 | Clay Collier | Speech-Language Pathologist | 527 S Ursula Ave, Milliken, CO 80543-5001 | 2019-04-10 |
1447540620 | Sabrina Schleiger | Doula | 209 S Pauline Ave, Milliken, CO 80543-8017 | 2011-04-08 |
1295213643 | Kristen Watson | Driver | 1300 S Dawn Dr, Milliken, CO 80543-8447 | 2018-07-29 |
1093288805 | Kanani Maree Naipo | Social Worker | 1002 S Rachel Ct, Milliken, CO 80543-9491 | 2019-01-03 |
Find all providers in zip 80543 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679962948 | April Gene' Light | Spec/Tech, Pathology | 11071 Huron St Unit 1209, Northglenn, CO 80234-4369 | 2015-01-09 |
1134529704 | Derry Robert Pollock | Spec/Tech, Pathology | 10555 West Jewell Ave, Apt 19-203, Lakewood, CO 80232-4835 | 2014-09-02 |
1124432372 | Rose Marie Specht | Spec/Tech, Pathology | 2944 Shelley Dr, Grand Junction, CO 81503-2356 | 2014-06-16 |
1033532064 | Van Nguyen | Spec/Tech, Pathology | 10225 E Girard Ave Apt J203, Denver, CO 80231-5098 | 2014-01-27 |
1285966366 | Angela Sabine Briggs | Spec/Tech, Pathology | 12285 Kalispell St, Brighton, CO 80603-6917 | 2010-02-01 |
1699908582 | Tania Ann Urenda | Spec/Tech, Pathology | 439 Gray Horse Cir, Woodland Park, CO 80863-8943 | 2009-08-26 |
1912150798 | Elizabeth Jean Kuras | Spec/Tech, Pathology | 644 Sage Cir, Highlands Ranch, CO 80126-2119 | 2008-10-24 |
1629224134 | Amy Beth Enderlin | Spec/Tech, Pathology | 343 Sherwood Trl, Breckenridge, CO 80424-8813 | 2008-08-15 |
1164616983 | Janice Cabellon | Spec/Tech, Pathology | 801 Englewood Pkwy, G306, Englewood, CO 80110-2345 | 2007-09-05 |
1659414712 | Christopher Dean Mele | Spec/Tech, Pathology | 56 Jacobson Pl Unit 1, 56 Jacobson Pl. #1, Leadville, CO 80461-3376 | 2007-02-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.