Individual
KIMBERLEY-RAE KETCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
1605 ROCKBRIDGE CT, TROY, OH 45373-9559
(937) 726-1542
(937) 552-9121
Mailing address
1605 ROCKBRIDGE CT, TROY, OH 45373-9559
(937) 726-1542
(937) 552-9121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3973
OH
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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