Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIMBERLY A KETTER, AGNP-C
Active Sole ProprietorMS. KIMBERLY A KETTER, AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in PETERSBURG, Virginia. NPI 1912263609 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · PETERSBURG, VA
Registration Details
- NPI Number
- 1912263609
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2012 (14.319824631916 yrs)
- Last Updated
- Feb 12, 2016
- Licenses
-
0001142669 (VA)0024173081 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 S SYCAMORE STPETERSBURG, VA, 238035802Browse VA providers · Browse ZIP 23803
- Phone
- 8043245051
- Fax
- 8043245049
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.