| NPI | 1982648580 |
|---|---|
| Doing Business As | KETTLEMAN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN A MITNICK Medical Director 209-521-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-05-06 |