Individual provider · Type 1 NPI
Lia R. Kettenis, MD
Child & Adolescent Psychiatry Physician · Bloomington, IN
NPI number
1346459146
Active
Practice location
645 S Rogers St
Bloomington, IN 47403-2353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 01063824A (IN) |
| Psychiatry Physician | 2084P0800X | 01063824A (IN) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1346459146
Lia R. Kettenis, MD's National Provider Identifier is 1346459146, issued on May 21, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Bloomington, IN. The record was last updated on Mar 5, 2024.