Keteri M. Fleet, MD
Individual provider Active NPI General Practice Physician · Ottawa, KS
NPI 1831263441 · NPPES record last updated Oct 7, 2009
Key facts
- NPI
- 1831263441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 04-33812 (KS)
- Practice address
- 2635 Louisiana Rd
Ottawa, KS 66067-8987 - Phone
- (785) 242-3773
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61744 | CA | MD | General Practice Physician |
| 04-33812 | KS | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 04-33812 | KS | Yes |
| General Practice Physician | 208D00000X | G61744 | CA |
Addresses
Primary practice location
2635 Louisiana Rd
Ottawa, KS 66067-8987
Mailing address
2635 Louisiana Rd
Ottawa, KS 66067-8987
Phone (785) 242-3773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G617440 | Medicaid | CA |
Other providers in Ottawa, KS
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- Brianna Fagan
- Nancy Ann Falkner
- Jocelyn D Filson
- Raymona L Folsom
- Fortis, LLC
- Fortis, LLC
- Frank Eye Center, P.a.
- Kenneth J Frank
All providers in Ottawa, KS · General Practice Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.