Benjamin Kettor, is a
Day Training/habilitation Specialist based in San Diego, California. Benjamin Kettor is licensed to practice in * (Not Available) (license number ) and his current practice location is
7986 Dagget St, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(858) 300-0460.
NPI number for Benjamin Kettor is 1548772981 and his current mailing address is 7986 Dagget St, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548772981.
Healthcare Provider's Profile
Full Name | Benjamin Kettor |
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Gender | Male |
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Speciality | Day Training/habilitation Specialist |
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Location | 7986 Dagget St, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548772981
- Provider Enumeration Date: 10/25/2017
- Last Update Date: 04/07/2025
Medical Identifiers
Medical identifiers for Benjamin Kettor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548772981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Kettor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Benjamin Kettor, 7986 Dagget St, San Diego, CA 92111-2321 Ph: () - | Benjamin Kettor, 7986 Dagget St, San Diego, CA 92111-2321 Ph: (858) 300-0460 |
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