Ketchersid, Marie Kathleen

Ketchersid, Marie Kathleen is an individual health care provider with primary practice located at 2232 Wilborn Ave , South Boston VA 24592-1662. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ketchersid, Marie Kathleen can be contacted via phone (434) 517-6180.

Contact Information

Primary practice address
2232 Wilborn Ave South Boston VA 24592-1662
Fax: (434) 517-6179
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101054916 Virginia

Profile Details

NPI number 1457365124
LBN Legal business name Ketchersid, Marie Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 3rd, 2011 - about 13 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.

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