Tiffany Ketcham, DO

NPI #1699786962 in Grimes, Iowa

Provider Information

NPI Number: 1699786962
Entity Type: Individual
Name: Tiffany Ketcham, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Aug 11, 2006
Last Updated: Feb 20, 2024

Practice Location

Address: 825 NE GATEWAY DR STE 148
City: Grimes
State: Iowa
ZIP Code: 50111-1307
Phone: (515) 875-9607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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