Individual
LEROY KETNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-5455
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP028098
PA
Other
Enumeration date
08/02/2023
Last updated
01/13/2026
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