Search › Massachusetts › 2085R0202X
Mark Kettler, MD
NPI 1790790202 · on the registry since 2006
Practice
- Address
- 820 Harrison Ave
Building Fgh-3 Room 203
Boston, MA 02118 - Phone
- (617) 638-6610
- Fax
- (617) 638-6616
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
- Licence states on file
- OR, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts