Donald J Kettinger
Medical Specialty
Professional ID
- NPI: 1548233273
- PECOS ID: 9739198094
- Enrollment ID: I20060413000475
- Credential(MD, DO, DPM): CNA
- Medical School:
- Medical School Graduation Year: 1988
Hospital Service
- Hospital CCN1: 230099
- Business Name (LBN)1: Promedica Monroe Regional Hospital
- Hospital CCN2: 230031
- Business Name (LBN)2: Lake Huron Medical Center
Medical Practices
- Organization Name: Prime Healthcare Services Port Huron Llc
- Group Practice ID assigned by PECOS: 7214245208
- Number of Group Practice member: 16
Location
- Address1: 2601 Electric Ave
- Address2: Lake Huron Medical Center
- City: Port Huron
- State: Michigan
- Zip Code: 48060
- Phone Number: (810)985-1500
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):