# KETTY M NGONA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962714204
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | R170567 | MD | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R170567 | MD | Yes |

## Other

- **Enumeration date:** 07/01/2010
- **Last updated:** 02/18/2025