Stuart Lee Ketron, CRT
Respiratory Therapist, Certified in Mountain Home, TN. Individual provider (NPI-1).
NPI number1992860522
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1992860522
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stuart Lee Ketron
- Credential
- CRT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227800000X | Respiratory Therapist, Certified | CRT0000004831 | TN | Yes |
Practice location
James H Quillen VamcCorner Of Sidney And Lamont Johnson City
Mountain Home, TN 37684
Phone 423-926-1171
Mailing address
James H Quillen VamcCorner Of Sidney And Lamont Johnson City
Mountain Home, TN 37684
Phone 423-926-1171
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