Individual
DR. BRANDON D KETRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 MED TECH PKWY, JOHNSON CITY, TN 37604-2630
(423) 794-5520
(423) 282-6940
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204175
VA
207R00000X
Internal Medicine Physician
Primary
2765
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558629907
—
NC
05
—
1558629907
—
VA
05
—
Q014987
—
TN
Enumeration date
04/23/2012
Last updated
02/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us