Organization
CASE MANAGEMENT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN KETTER NURSE PRACTITIONER (NURSE PRACTITIONER)
(804) 324-5051
Entity
Organization
Contact information
Practice address
700 S SYCAMORE ST, SUITE 1, PETERSBURG, VA 23803-5802
(804) 324-5051
Mailing address
700 S SYCAMORE ST, SUITE 1, PETERSBURG, VA 23803-5802
(804) 324-5051
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
0001146276
VA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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