National Provider Identifier
Paul Ketterer
Paul Ketterer is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Buffalo, NY and a listed phone number of (716) 831-2700.
Profile Overview
- NPI
- 1518492974
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 24, 2017
- Last Updated
- April 24, 2017
Practice Location
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Phone: (716) 831-2700
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1518492974
- Entity Type
- Individual
- Last Name
- Ketterer
- First Name
- Paul
- Mailing Street Address
- 3020 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2814
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Practice Street Address
- 3020 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2814
- Practice Country
- US
- Practice Phone
- (716) 831-2700
- Enumeration Date
- April 24, 2017
- Last Updated
- April 24, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)