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Cheryl Ketelsen
NPI 1770938532 · on the registry since 2016 · sole proprietor
Practice
- Address
- 15 Santa Rosa St
San Luis Obispo, CA 93405 - Phone
- (805) 541-2650
- Fax
- (805) 541-4043
- Organisation at this address
- R Jeffrey Herten Md Inc
San Luis Dermatology, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-20
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