SearchCaliforniaIndependent Duty Corpsman

Erik Ketelsen, IDC

NPI 1093043051 · on the registry since 2009 · sole proprietor

Practice

Address
4653 Dock Rd
Bldg 524
Port Hueneme, CA 93043
Phone
(619) 534-7920

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2009-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California