Marie Kathleen Ketchersid, MD

NPI #1457365124 in South Boston, Virginia

Provider Information

NPI Number: 1457365124
Entity Type: Individual
Name: Marie Kathleen Ketchersid, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 28, 2006
Last Updated: Jan 3, 2011

Practice Location

Address: 2232 WILBORN AVE
City: South Boston
State: Virginia
ZIP Code: 24592-1662
Phone: (434) 517-6180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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