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
Fax: (256) 428-7259
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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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