person
Kirsten Micaela Ketchersid
Pediatric Nurse Practitioner in Dallas, Texas
NPI 1295475788

Kirsten Micaela Ketchersid is a Pediatric Nurse Practitioner based in San Antonio, TX and is specialized in Pediatrics. Kirsten Micaela Ketchersid practices in Dallas, TX. The NPI Number for Kirsten Micaela Ketchersid is 1295475788 and holds a License No. 1019995 (Texas).

The current practice location address for Kirsten Micaela Ketchersid is 12895 Josey Ln Ste 114, Dallas, TX and can be reached out via phone at 972-532-9967 and via fax at 972-495-2287.

Location: 12895 Josey Ln Ste 114, Dallas, TX, 78232-2009
person
Provider Profile Details
NPI Number
1295475788
Provider Name
Kirsten Micaela Ketchersid
Credential
Provider Entity Type
Individual
Gender
Female
Address
12895 Josey Ln Ste 114, Dallas, TX, 78232-2009
Phone Number
972-532-9967
Fax Number
972-495-2287
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12895 Josey Ln Ste 114
City
State
Zip
75234-8300
Phone Number
972-532-9967
Fax Number
972-495-2287
person
Provider Business Mailing Address Details
Address
12895 Josey Ln Ste 114
City
State
Zip
75234-8300
Phone Number
972-532-9967
Fax Number
972-495-2287
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1019995 (Texas)
Definition
Definition to come...
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