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
Phone: (434) 517-6180
Fax: (434) 517-6179
Website:
Health care specialties
Specialty | Code | License # | 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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