Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALAN KENNETH KETOVER, M.D.
Active Sole ProprietorDR. ALAN KENNETH KETOVER, M.D. is a Preventive Medicine healthcare provider located in PARADISE VALLEY, Arizona. NPI 1073732624 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · PARADISE VALLEY, AZ
Registration Details
- NPI Number
- 1073732624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.118331412362 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AZ13379 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10595 N TATUM BLVDSUITE E-146PARADISE VALLEY, AZ, 852531071Browse AZ providers · Browse ZIP 85253
- Phone
- 6023810800
- Fax
- 6023810054
- Primary Specialty
-
Preventive Medicine
2083P0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.