| Doctor Name: | AMY KETTERER |
| NPI Number: | 1225020506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 08056 |
| Business Practice Address: | 161 Washington Street Suite 1400 Eight Tower Bridge Conshohocken, PA - 19428 |
| Business Phone Number: | 8668253227 |
| Business Fax Number: | |
| Mailing Address: | 7983 Castlewood Ln, BURLINGTON |
| State: | KY |
| Postal Code: | 410059429 |
| Phone Number: | 8593847706 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2005 |
| NPI Last Update Date: | 03/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 08056 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |