Individual
AMY KETTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
161 WASHINGTON STREET, SUITE 1400 EIGHT TOWER BRIDGE, CONSHOHOCKEN, PA 19428
(866) 825-3227
Mailing address
7983 CASTLEWOOD LN, BURLINGTON, KY 41005-9429
(859) 384-7706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
08056
OH
363LF0000X
Family Nurse Practitioner
Primary
4188P
KY
Other
Enumeration date
08/22/2005
Last updated
03/19/2013
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