Connie Swartz Ketten
Pediatrician
919 S Church St
Smithfield
, Virginia 23430-1715
Connie Swartz Ketten
Pediatrician
919 S Church St
Smithfield
, Virginia 23430-1715
(757) 356-9451
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Connie Swartz Ketten
- 919 S Church St
- Smithfield, VA
- Zip : 23430-1715
- Fax : (757) 356-9451
- Phone : (757) 365-8008
Second Address
- Connie Swartz Ketten
- 919 S Church St
- Smithfield, VA
- Zip : 23430-1715
- Fax : (757) 356-9451
- Phone : (757) 365-8008
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Is Connie Swartz Ketten a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 0101237424 | VA |
National Provider Identifier
| NPI | 1003890005 |
|---|---|
| Provider Name | Connie Swartz Ketten |
| First Address | Smithfield, VA 23430-1715 |
| Second Address | Smithfield, VA 23430-1715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 177578 | ANTHEM PROVIDER NUMBER (01) | VA |
| F36347 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.