Individual
ANN KETTERHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 RIDGECREST RD, KINGSTON SPRINGS, TN 37082-8959
(615) 668-8283
Mailing address
1136 RIDGECREST RD, KINGSTON SPRINGS, TN 37082-8959
(615) 668-8283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 0000113334
TN
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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