| NPI | 1922468859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN KETTER Nurse Practitioner 804-324-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: VA 0001146276) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |