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Contact Information

ASHLEY KETTLER, OD
2211 E NORTHERN LIGHTS BLVD STE 202
ANCHORAGE, AK99508
 Phone: 949-607-9964
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ASHLEY KETTLER · (Female)

NPI Number 1336580943
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/11/2013
Last updated 12/06/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AK License # OPTT340
  • CA License # 14625
  • AK Medicaid 1625251
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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