Ketchum, Beverly Karen
Ketchum, Beverly Karen is an sole proprietor health care provider with primary practice located at 1110 Meridian St N , Huntsville AL 35801-4636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ketchum, Beverly Karen can be contacted via phone (256) 428-7276.Contact Information
Primary practice address
1110 Meridian St N
Huntsville AL 35801-4636
Phone: (256) 428-7276
Fax: (256) 428-7259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-029612 | Alabama |
Profile Details
| NPI number | 1306012133 |
|---|---|
| LBN Legal business name | Ketchum, Beverly Karen |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2008 |
| Last updated | May 1st, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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