Individual
DR. LINDSEY DIANE KETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1477 TOBIAS GADSON BLVD, CHARLESTON, SC 29407-4794
(843) 766-7696
(843) 556-5882
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 766-7696
(843) 556-5882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2397
—
SC
Enumeration date
10/19/2012
Last updated
08/10/2016
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