Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Kimberly A Ketter, AGNP-C

Individual provider Diabetes Educator Registered Nurse · NPI 1912263609

MS. Kimberly A Ketter, AGNP-C is a Diabetes Educator Registered Nurse in Petersburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

700 S Sycamore St
Petersburg, VA 23803-5802
Phone: (804) 324-5051
Fax: (804) 324-5049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0024173081 (VA)
Diabetes Educator Registered Nurse Taxonomy 163WD0400X · Licence 0001142669 (VA)

Record details

NPI number1912263609
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedApril 6, 2012
Last updated in NPPESFebruary 12, 2016