Individual
JODY L KETCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
1643 FIDDLE HILL RD, SUDBURY, VT 05733-9579
(802) 989-1188
Mailing address
1643 FIDDLE HILL RD, SUDBURY, VT 05733-9579
(802) 989-1188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0031487
VT
163W00000X
Registered Nurse
591149-1
NY
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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