TIFFINI KETCHUM, HIS

Contractor

Active Individual
NPI: 1407376064

Practice Address

3950 MORSE RD
Columbus, OH 43219

Phone: (937) 717-8889

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 03268 (OH)

Frequently Asked Questions

NPI 1407376064 is the National Provider Identifier for TIFFINI KETCHUM, HIS, a Contractor provider located in Columbus, OH. This NPI was enumerated on June 26, 2017.
TIFFINI KETCHUM, HIS practices at 3950 MORSE RD, Columbus, OH 43219.

Quick Facts

NPI
1407376064
Type
Individual
Enumerated
Jun 26, 2017
Last Updated
Jun 26, 2017

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