Healthcare Provider Details

I. General information

NPI: 1013369107
Provider Name (Legal Business Name): SARAH JONES KETTER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2970 ARAPAHOE RD
LAFAYETTE CO
80026-8054
US

IV. Provider business mailing address

2970 ARAPAHOE RD
LAFAYETTE CO
80026-8054
US

V. Phone/Fax

Practice location:
  • Phone: 720-718-8410
  • Fax: 720-718-8999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR-10738
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: