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Individual
MS. TAMMY LEIGH AUSTIN-KETCH
Active
Individual
MS. TAMMY LEIGH AUSTIN-KETCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331418
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026506601
UNIVERA
NY
01
—
000560260001
BCBS
NY
05
—
01710838
—
NY
01
—
9511835
IHA
NY
Enumeration date
12/16/2005
Last updated
10/22/2008
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