Individual provider · Type 1 NPI

Ronald R. Ketelsen, PA-C

Physician Assistant · Salt Lake City, UT

NPI number 1659458339 Active

Practice location

3981 Wasatch Blvd
Salt Lake City, UT 84124-2247

Mailing address

PO Box 510721
Salt Lake City, UT 84151-0721

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X102163-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659458339

Ronald R. Ketelsen, PA-C's National Provider Identifier is 1659458339, issued on Nov 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.