MRS. KELSEY KETCHUM

Nurse Practitioner - Family

Active Individual
NPI: 1053001412

Practice Address

72 GOLDENGATE DR
Centerville, OH 45459

Phone: (419) 605-7307

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No RN.474362 (OH)
Nurse Practitioner - Family 363LF0000X Yes APRN.CNP.0033883 (OH)

Frequently Asked Questions

NPI 1053001412 is the National Provider Identifier for MRS. KELSEY KETCHUM, a Nurse Practitioner - Family provider located in Centerville, OH. This NPI was enumerated on May 9, 2023.
MRS. KELSEY KETCHUM practices at 72 GOLDENGATE DR, Centerville, OH 45459.

Quick Facts

NPI
1053001412
Type
Individual
Enumerated
May 9, 2023
Last Updated
Jul 24, 2023

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