LISA MARIE KETCHEM

KINGSPORT, TN
NPI1871058263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  25202)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: VA  0024184785)
Enumeration Date2019-02-10
Last Update Date2022-10-18
Business Address
LISA MARIE KETCHEM FNP-C
5039 ANDREW ST
KINGSPORT, TN 37660-6500
Phone number: 423-817-8615
Mailing Address
LISA MARIE KETCHEM FNP-C
5039 ANDREW ST
KINGSPORT, TN 37660-6500
Phone number: 423-817-8615