Individual
ANTHONY KETCHERSID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
6515 KEMP BLVD, WICHITA FALLS, TX 76308-5419
(940) 692-1220
(940) 689-5108
Mailing address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-4490
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP132307
TX
Other
Enumeration date
10/19/2016
Last updated
09/13/2023
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