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Individual

MR. JAMES A KETOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
97 HIGHWAY 125, ROANOKE RAPIDS, NC 27870
(252) 537-1933
(252) 537-1936
Mailing address
97 HIGHWAY 125, ROANOKE RAPIDS, NC 27870
(252) 537-1933
(252) 537-1936

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101055976
VA
208600000X
Surgery Physician
Primary
200600242
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7302291
VA
Enumeration date
07/13/2006
Last updated
01/20/2022
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