Provider Demographics
NPI:1437587250
Name:KETTLER, MARGARET (AUD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:KETTLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:JAHNKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3333 BURNET AVE # MLC200
Mailing Address - Street 2:DIVISION OF AUDIOLOGY
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-1186
Mailing Address - Fax:513-636-7316
Practice Address - Street 1:3333 BURNET AVE # MLC200
Practice Address - Street 2:DIVISION OF AUDIOLOGY
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-1186
Practice Address - Fax:513-636-7316
Is Sole Proprietor?:No
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01526231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist