Individual
KETMANY KATE SISOULATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0988
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
(614) 225-0991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
375025
OH
Other
Enumeration date
04/16/2018
Last updated
07/19/2022
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