KETAN J MORAN

BRADENTON, FL
NPI1154810117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP9410779)
Enumeration Date2018-05-05
Last Update Date2018-06-04
Business Address
KETAN J MORAN ARNP
316 MANATEE AVE W
BRADENTON, FL 34205
Phone number: 941-748-2277
Mailing Address
KETAN J MORAN ARNP
367 S. GULPH ROAD ATTN: IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 941-748-2277
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