Provider Demographics
NPI:1881186682
Name:BARNETT-KETTER, SONIA DIONNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:DIONNE
Last Name:BARNETT-KETTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 GLENVILLE CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-5440
Mailing Address - Country:US
Mailing Address - Phone:757-754-6294
Mailing Address - Fax:
Practice Address - Street 1:5340 GLENVILLE CIR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-5440
Practice Address - Country:US
Practice Address - Phone:757-754-6294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001254643163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse