Individual
CASSANDRA JORIE KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 LAKEVIEW AVE, HEALDTON, OK 73438-3246
(541) 993-5553
Mailing address
406 LAKEVIEW AVE, HEALDTON, OK 73438-3246
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
133662
OK
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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