Lia R Kettenis, MD
Lia R Kettenis, MD is a Psychiatry in Bloomington, Indiana. Graduated from Washington University School of Medicine in 2002, 24 years ago. Practices with Centerstone of Indiana Inc, a 113-clinician group. Licensed in Indiana.
- Years since qualifying
- 24
- Trained at
- Washington University School of Medicine
- Licensed in
- IN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
645 S Rogers StBloomington, IN 47403-2353
Phone: (812) 269-5092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence 01063824A (IN) |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 01063824A (IN) |
Record details
| NPI number | 1346459146 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 21, 2007 |
| Last updated in NPPES | March 5, 2024 |
| Certification date | March 5, 2024 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2002 (24 years in practice) |
| Group practice | Centerstone Of Indiana Inc — 113 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Bloomington
-
Dr. James G Marencik, MD
645 S Rogers St, Bloomington, IN 47403-2353 · (812) 339-1691
-
Dr. Lisa Marie Ruiz, MD
2620 N Walnut St Ste 905, Bloomington, IN 47404-2008 · (812) 508-6132
-
Mary Melinda Weakley, MD
350 S Landmark Ave, Bloomington, IN 47403 · (812) 332-9874