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1578959920
SAMANTHA A KETRON
KINGSPORT, TN
NPI
1578959920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TN 55958)
Enumeration Date
2015-04-13
Last Update Date
2021-03-29
Business Address
Dr. SAMANTHA A KETRON MD
2002 BROOKSIDE DR STE 200
KINGSPORT, TN 37660-4634
Phone number: 423-530-7970
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Mailing Address
Dr. SAMANTHA A KETRON MD
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-5742
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