Search › Minnesota › 207P00000X
Alyssa Kettler
NPI 1518594092 · on the registry since 2020
Practice
- Address
- 640 Jackson St # T
Saint Paul, MN 55101 - Phone
- (651) 254-3456
Additional practice sites
- 1000 W Carson St, Torrance, CA
- 927 Churchill St W, Stillwater, MN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207PP0204X
- Licence states on file
- CA, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-18
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 Minnesota