Individual
ERIN KATHLEEN KETTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7607 FOREST AVE STE 220, HENRICO, VA 23229-4913
(804) 285-9416
(804) 285-0840
Mailing address
PO BOX 281908, ATLANTA, GA 30384-1908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006686
VA
Other
Enumeration date
12/16/2018
Last updated
01/24/2020
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