KETTY M SPAIN

SOUTH HILL, VA
NPI1427225846
Former NameKETTY M VARGAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024167836)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: VA  0024167836)
363LF0000X Nurse Practitioner, Family
(Licence: NC  5006092)
Enumeration Date2008-05-14
Last Update Date2017-01-13
Business Address
-- KETTY M SPAIN FNP
514 W ATLANTIC ST
SOUTH HILL, VA 23970-1906
Phone number: 434-584-2000
Mailing Address
-- KETTY M SPAIN FNP
514 W ATLANTIC ST 82 MAPLEWOOD LANE
SOUTH HILL, VA 23970-1906
Phone number: 434-584-2000
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