Kimberly A Ketter (NPI# 1912263609, PAC ID# 8426055807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912263609 |
| PAC ID by PECOS | 8426055807 |
| Professional Enrollment ID | I20160215000667 |
| Full Name | Kimberly A Ketter |
| Address |
700 S Sycamore St Suite 1 Petersburg VA 23803-5804 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 S Sycamore St, Suite 1, Petersburg, VA 23803-5804 |
| Street Address |
700 S SYCAMORE ST SUITE 1 |
| City | PETERSBURG |
| State | VA |
| Zip | 23803-5804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Quarshie | Family Medicine | Southside Physician Network LLC | 20901 Chesterfield Ave, South Chesterfield, VA 23803-1903 |
| Terri S Carter | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 |
| Maria W Haltom | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 |
| Dawn Welch | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Petersburg, VA 23803-3279 |
| Xiao H Jin | Family Medicine | 51 S Market St, Petersburg, VA 23803-4215 | |
| Stefanie Lea Eads | Nurse Practitioner | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Mark Ende | Internal Medicine | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Frederick Ivan Ende | Internal Medicine | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Rose Renee Jeter | Clinical Social Worker | 115 S Sycamore St, Suite B, Petersburg, VA 23803-4279 | |
| Kiho Min | Internal Medicine | Professional Health Care, Inc. | 24 S Adams St, Petersburg, VA 23803-4525 |
| Find all physicians in zip 23803 | |||
| City | PETERSBURG |
| Zip Code | 23803 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PETERSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly A Ketter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.