Individual
MRS. ANNE MONTGOMERY KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
504 BROOKWOOD BLVD, HOMEWOOD, AL 35209-6802
(334) 462-2241
Mailing address
504 BROOKWOOD BLVD, BIRMINGHAM, AL 35209-6802
(205) 871-9661
(205) 870-1621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-127785
AL
Other
Enumeration date
11/25/2015
Last updated
02/11/2016
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