Doctor Name: | DR. ALAN KENNETH KETOVER |
NPI Number: | 1073732624 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | AZ13379 |
Business Practice Address: | 10595 N Tatum Blvd Suite E-146 Paradise Valley, AZ - 852531071 |
Business Phone Number: | 6023810800 |
Business Fax Number: | 6023810054 |
Mailing Address: | 10595 N Tatum Blvd, Suite E-146 PARADISE VALLEY |
State: | AZ |
Postal Code: | 852531071 |
Phone Number: | 6023810800 |
Fax Number: | 6023810054 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | AZ13379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |