Dr. Kathy J Stetler
Periodontist
4301 N Wickham Rd Ste 4
Melbourne
, Florida 32935-2400
Dr. Kathy J Stetler
Periodontist
4301 N Wickham Rd Ste 4
Melbourne
, Florida 32935-2400
(321) 255-9600
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Kathy J Stetler
- 4301 N Wickham Rd Ste 4
- Melbourne, FL
- Zip : 32935
- Phone : (321) 255-9600
Second Address
- Dr. Kathy J Stetler
- 4301 N Wickham Rd Ste 4
- Melbourne, FL
- Zip : 32935-2400
- Phone : (321) 255-9600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | DN 15606 | FL |
National Provider Identifier
| NPI | 1033372776 |
|---|---|
| Provider Name | Dr. Kathy J Stetler |
| First Address | Melbourne, FL 32935 |
| Second Address | Melbourne, FL 32935-2400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.