Search › Indiana › 1223X0400X
Ketti Boller, D.D.S, M.S
NPI 1255682662 · on the registry since 2012 · sole proprietor
Practice
- Address
- 123 N Main St Ste 101
Crown Point, IN 46307 - Phone
- (219) 663-2000
- Fax
- (219) 322-7667
- Organisation at this address
- Loving Seniors Llc
Elite Vision ConsultantsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 275 Joliet St Ste 260, Dyer, IN
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-17
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 Indiana