IndividualActive
Alisha Kettner, CRNA
NPI 1063713097 · Certified Registered Nurse Anesthetist · Hammond, IN
Provider details
- NPI number
- 1063713097
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 209009914 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5454 Hohman Ave
Hammond, IN 46320-1931
Phone: (219) 933-2270
Fax: (219) 852-2515
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1000
Dyer, IN 46311-0800
Registry dates
- Enumerated
- 2010-11-08
- Last updated
- 2017-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.