Jason Kettenring
Jason Kettenring is a Physician Assistant in New York, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
177 Ft Washingtn AveNew York, NY 10032-3733
Phone: (212) 305-2500
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1003645144 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 29, 2024 |
| Last updated in NPPES | July 29, 2024 |
| Certification date | July 29, 2024 |
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