Search › Maryland › 163W00000X
Justin Ketonze
NPI 1922351915 · on the registry since 2012
Practice
- Address
- 9116 Piney Branch Rd Apt 102
Silver Spring, MD 20903 - Phone
- (240) 505-0683
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland