Kettell, Keith Wesley

Kettell, Keith Wesley is an individual health care provider with primary practice located at 4320 Seminary Rd , Alexandria VA 22304-1535. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kettell, Keith Wesley can be contacted via phone (703) 504-3000.

Contact Information

Primary practice address
4320 Seminary Rd Alexandria VA 22304-1535
Phone: (703) 504-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001008 Virginia

Profile Details

NPI number 1417948670
LBN Legal business name Kettell, Keith Wesley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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