Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KETRA SHELLY IKEZUAGU, M.D
ActiveMRS. KETRA SHELLY IKEZUAGU, M.D is a Family Medicine healthcare provider located in PUT-IN-BAY, Ohio. NPI 1164672366 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PUT-IN-BAY, OH
Registration Details
- NPI Number
- 1164672366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2008 (17.925141935612 yrs)
- Last Updated
- May 4, 2017
- License
-
35129203 (OH)
Practice Information
- Address
-
528 CATAWBA AVENUEPUT-IN-BAY, OH, 43456Browse OH providers · Browse ZIP 43456
- Phone
- 4192852401
- Primary Specialty
-
Family Medicine
207Q00000X
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.