Individual
MS. BEVERLY KAREN KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1110 MERIDIAN ST N, HUNTSVILLE, AL 35801-4636
(256) 428-7276
(256) 428-7259
Mailing address
1110 MERIDIAN ST N, HUNTSVILLE, AL 35801-4636
(256) 428-7276
(256) 428-7259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-029612
AL
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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