LIA R KETTENIS

BLOOMINGTON, IN
NPI1346459146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IN  01063824A)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  01063824A)
Enumeration Date2007-05-21
Last Update Date2024-03-05
Business Address
LIA R KETTENIS M.D.
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-269-5092
Mailing Address
LIA R KETTENIS M.D.
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-269-5092