Individual
KIMBERLEE R KETCHERSID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
159 HARTLEY WAY, PEARISBURG, VA 24134-2471
(540) 921-6000
Mailing address
159 HARTLEY WAY, PEARISBURG, VA 24134-2471
(540) 921-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003293
CT
363A00000X
Physician Assistant
Primary
0110006038
VA
Other
Enumeration date
02/18/2015
Last updated
05/10/2018
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