KEITH WESLEY KETTELL

ALEXANDRIA, VA
NPI1417948670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110001008)
Enumeration Date2005-11-04
Last Update Date2007-07-08
Business Address
Mr. KEITH WESLEY KETTELL PA-C
4320 SEMINARY RD
ALEXANDRIA, VA 22304-1535
Phone number: 703-504-3000
Mailing Address
Mr. KEITH WESLEY KETTELL PA-C
8424 BLAKISTON LN
ALEXANDRIA, VA 22308-2104
Phone number: 703-619-5993
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