Individual
KOURTNEY KETRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 HODGIN RD, RICHMOND, IN 47374-7443
(765) 939-3701
Mailing address
3701 HODGIN RD, RICHMOND, IN 47374-7443
(765) 939-3701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004923A
IN
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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