NPI 1083628515
Sharon K Kettler, RDH
Practice location
- Address
- 2330 Sioux Trl NW, Prior Lake, MN 55372-9077
- Phone
- (952) 496-6148
- Fax
- (952) 233-4224
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1083628515
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jul 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.