Casimir, Valentina Ketlie

Casimir, Valentina Ketlie is an individual health care provider with primary practice located at 780 Canton Road Suite 100, Marietta GA 30060-7259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Casimir, Valentina Ketlie can be contacted via phone (678) 574-0943.

Contact Information

Primary practice address
780 Canton Road Suite 100 Marietta GA 30060-7259
Phone: (678) 574-0943
Fax: (678) 574-0943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN132859 Georgia

Profile Details

NPI number 1427027960
LBN Legal business name Casimir, Valentina Ketlie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 11th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427027960 NPPES
Georgia MEDICAID 631542956A

Popular Providers