John M Ketcher LLC

NPI #1386901502 in Mustang, Oklahoma

Provider Information

NPI Number: 1386901502
Entity Type: Organization
Organization Name: John M Ketcher LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 12, 2012
Last Updated: Apr 12, 2012

Practice Location

Address: 1108 E. HWY 152
City: Mustang
State: Oklahoma
ZIP Code: 73064
Phone: (405) 376-2429

Authorized Official

Name: DR. JOHN M KETCHER, OD
Title: CEO
Phone: (901) 338-4153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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