Ketchie, Monica

Ketchie, Monica is an individual health care provider with primary practice located at 1199 Prince Ave Midwifery Clinic, Athens GA 30606-2797. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ketchie, Monica can be contacted via phone (706) 475-4917.

Contact Information

Primary practice address
1199 Prince Ave Midwifery Clinic Athens GA 30606-2797
Phone: (706) 475-4917
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN121783 Georgia

Profile Details

NPI number 1619032679
LBN Legal business name Ketchie, Monica
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 2nd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619032679 NPPES
Georgia MEDICAID 00768193A

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