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Judith Tart Kettner

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NPI Number Detailed Information

Provider Information:

Name: Judith Tart Kettner
Gender: F
Provider License Number If Given: NC LPC 3778

NPI Information:

NPI: 1982688180
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 12/1/2005

Last Update Date: 6/4/2012

Provider Business Mailing Address:

Address: 200 VALENCIA DR SUITE 109
Jacksonville, NC 28546
Phone Number: 9103469000
Fax Number: 9103550672

Provider Business Practice Location Address:

Address: 200 VALENCIA DR SUITE 109
Jacksonville, NC 28546
Phone Number: 9103469000
Fax Number: 9103550672

Provider Taxonomy:

Primary: 101YP2500X
Secondary (if any): 106H00000X
State: NC

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About Judith Tart Kettner

Judith Tart Kettner ( JUDITH TART KETTNER ) is Definition Counselor Physician in Jacksonville, NC. The NPI Number for Judith Tart Kettner is 1982688180.
The current location address for Judith Tart Kettner is 200 VALENCIA DR SUITE 109 Jacksonville, NC 28546 and the contact number is 9103469000 and fax number is 9103550672. The mailing address for Judith Tart Kettner is 200 VALENCIA DR SUITE 109 Jacksonville, NC 28546- 9103469000 (mailing address contact number - 9103469000).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Judith Tart Kettner ?


Answer: The NPI Number for Judith Tart Kettner is 1982688180

Where is Judith Tart Kettner located?


Answer: Judith Tart Kettner is located at 200 VALENCIA DR SUITE 109 Jacksonville, NC 28546.

What is the specialty for Judith Tart Kettner ?


Answer: The Specialty of Judith Tart Kettner is Definition Counselor Physician.

Are there any online reviews for Judith Tart Kettner ?


Answer: Not yet!

Are there any other health care providers in Jacksonville, NC?


Answer: Yes, there are given below...

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Judith Tart Kettner in Other Directories

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