Individual provider · Type 1 NPI

Cheryl Ketelsen

Medical Physician Assistant · San Luis Obispo, CA

NPI number 1770938532 Active

Practice location

15 Santa Rosa St
San Luis Obispo, CA 93405-1811

Fax (805) 541-4043

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X53363 (CA)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1770938532

Cheryl Ketelsen's National Provider Identifier is 1770938532, issued on Apr 29, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Apr 20, 2017.