Individual
MS. JENNIFER E. KETTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
THE JAMES A. TAYLOR STUDENT HEALTH SERVICES CB#7470, THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL, CHAPEL HILL, NC 27599-7470
(919) 962-9356
(919) 843-4771
Mailing address
7 LAKE HILL DR, DURHAM, NC 27713-8955
(919) 484-0327
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003278
NC
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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