Individual
CONNIE SWARTZ KETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
680 OYSTER POINT RD, NEWPORT NEWS, VA 23606-4570
(757) 668-4851
Mailing address
811 REDGATE AVE, NORFOLK, VA 23507-1515
(757) 668-7007
(757) 668-8658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101237424
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG6353
0101237424
VA
Enumeration date
12/02/2005
Last updated
06/29/2023
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