KIRSTEN MICAELA KETCHERSID

DALLAS, TX
NPI1295475788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  1019995)
Enumeration Date2022-03-31
Last Update Date2022-03-31
Business Address
KIRSTEN MICAELA KETCHERSID
12895 JOSEY LN STE 114
DALLAS, TX 75234-8300
Phone number: 972-532-9967
Mailing Address
KIRSTEN MICAELA KETCHERSID
14100 SAN PEDRO AVE STE 412
SAN ANTONIO, TX 78232-2009
Phone number: 210-281-8669