DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHERINE D. KETTERHAGEN, PA-C

Active

KATHERINE D. KETTERHAGEN, PA-C is a Physician Assistant healthcare provider located in JANESVILLE, Wisconsin. NPI 1356414668 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JANESVILLE, WI

Registration Details

NPI Number
1356414668
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2006 (19.701726844132 yrs)
Last Updated
Nov 3, 2020
License
1757-23 (WI)

Practice Information

Address
3200 E RACINE ST
JANESVILLE, WI, 535462343
Browse WI providers · Browse ZIP 53546
Phone
6083718000
Fax
6083718008
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in JANESVILLE, WI

Name Credential NPI
ADRIENNE JONES ELERT PA-C 1578527297
CHRISTOPHER B GOODAVISH PA 1043275720
DEBRA L MILLS PA-C 1245288596
MICHELLE B ESCH PA-C 1073611265
LYNN M JOHNSTON PA-C 1346313483
VIRGINIA L SNYDER PA, PHD 1952426819
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.