Individual
DR. RUDY MAX KETCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1316 DAVIE AVE STE B, STATESVILLE, NC 28677-3561
(704) 873-2141
(704) 873-2110
Mailing address
1316 DAVIE AVE STE B, STATESVILLE, NC 28677-3561
(704) 873-2141
(704) 873-2110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3467
NC
Other
Enumeration date
06/19/2006
Last updated
11/05/2021
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