Individual
KEYONA KETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7202 SOMMERS RD, PHILADELPHIA, PA 19138-1308
(267) 973-2320
Mailing address
7202 SOMMERS RD, PHILADELPHIA, PA 19138-1308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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