Individual
ADAM ROSS KETNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 HOSPICE CIR, RALEIGH, NC 27607-6372
(919) 828-0890
(919) 719-0395
Mailing address
250 HOSPICE CIR, RALEIGH, NC 27607-6372
(919) 828-0890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.131061
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2022-01525
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35.131061
OH
Other
Enumeration date
04/01/2015
Last updated
08/09/2022
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