Individual
MR. STUART LEE KETRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
JAMES H QUILLEN VAMC, CORNER OF SIDNEY AND LAMONT JOHNSON CITY, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
JAMES H QUILLEN VAMC, CORNER OF SIDNEY AND LAMONT JOHNSON CITY, MOUNTAIN HOME, TN 37684
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
CRT0000004831
TN
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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