GARRY KETLER


Address: 10 E Ilex Ct, Milliken, CO 80543-9112
Phone: 9705875520

GARRY KETLER (NPI# 1851623458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 10 E ILEX CT
City MILLIKEN
State CO
Zip Code 80543-9112

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1659610327 Krystle Mason Massage Therapist 112 N Irene Ave, Unit A, Milliken, CO 80543-0189 2013-01-31
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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
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Taxonomy Information

Taxonomy Code 246QM0706X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Pathology
Specialization Medical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City MILLIKEN
Zip Code 80543

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Dataset Information

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.

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