KISHIMJAN BEISHENALIEVNA KETNER

INMAN, SC
NPI1033651526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: SC  20442)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: SC  20442)
363L00000X Nurse Practitioner
(Licence: SC  20442)
363LG0600X Nurse Practitioner, Gerontology
(Licence: SC  20442)
Enumeration Date2016-11-15
Last Update Date2023-10-10
Business Address
KISHIMJAN BEISHENALIEVNA KETNER NP
150 HOLLY SPRINGS CHURCH RD
INMAN, SC 29349-7983
Phone number: 864-921-4479
Mailing Address
KISHIMJAN BEISHENALIEVNA KETNER NP
150 HOLLY SPRINGS CHURCH RD
INMAN, SC 29349-7983
Phone number: 864-921-4479