Individual
MR. PATRICK EMORY KETCHERSID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
417 N 11TH ST, RICHMOND, VA 23298-5002
(804) 828-7748
(804) 827-0285
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110006066
VA
Other
Enumeration date
02/09/2018
Last updated
12/04/2019
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