IndividualActive
Andrew Kettner
NPI 1164089660 · Family Medicine Physician · Wichita, KS
Provider details
- NPI number
- 1164089660
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 94-09814 (KS)
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2019-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.