Individual provider · Type 1 NPI

Elijah Ketron

Electroneurodiagnostic Specialist/Technologist · San Antonio, TX

NPI number 1982252466 Active

Practice location

1141 N Loop 1604 E # 105-610
San Antonio, TX 78232-1339

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1982252466

Elijah Ketron's National Provider Identifier is 1982252466, issued on Aug 28, 2019. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in San Antonio, TX. The record was last updated on Aug 28, 2019.