MRS. Kelsey Ketchum
NPI #1053001412 in Centerville, Ohio
Provider Information
- NPI Number
- 1053001412
- Entity Type
- Individual
- Name
- MRS. Kelsey Ketchum
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 9, 2023
- Last Updated
- Jul 24, 2023
Practice Location
- Address
- 72 GOLDENGATE DR
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-4325
- Phone
- (419) 605-7307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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