ERIK KETELSEN, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1093043051

Practice Address

4653 DOCK RD
BLDG 524
Port Hueneme, CA 93043

Phone: (619) 534-7920

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1093043051 is the National Provider Identifier for ERIK KETELSEN, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Port Hueneme, CA. This NPI was enumerated on December 1, 2009.
ERIK KETELSEN, IDC practices at 4653 DOCK RD, BLDG 524, Port Hueneme, CA 93043.

Quick Facts

NPI
1093043051
Type
Individual
Enumerated
Dec 1, 2009
Last Updated
Dec 1, 2009

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