Individual
ELIZABETH KETAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 MAYFAIR AVE, CHATTANOOGA, TN 37411-4730
(423) 315-1996
Mailing address
4601 MAYFAIR AVE, CHATTANOOGA, TN 37411-4730
(423) 315-1996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000147580
TN
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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