Search › Indiana › 363AS0400X
Mackenzie Ketterhagen, PA-C
NPI 1821979519 · on the registry since 2025
Practice
- Address
- 601 Gateway Blvd N
Chesterton, IN 46304 - Phone
- (219) 921-1444
- Fax
- (219) 921-5303
- Organisation at this address
- Neuromuscular Diagnostic Llc
Lakeshore Bone & Joint Institute, Pc
Lakeshore Bone & Joint Institute Ii, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 73
Additional practice sites
- 500 E 109th Ave, Crown Point, IN
- 3691 Willowcreek Rd, Portage, IN
- 833 W Lincoln Hwy Ste 110e, Schererville, IN
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Sex
- Female
- Record last updated
- 2025-09-09
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