Individual
SEDRA JO KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3050
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2014013264
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
71010526A
IN
363LG0600X
Gerontology Nurse Practitioner
2014013264
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044987
—
IN
05
—
7100256130
—
KY
Enumeration date
02/21/2013
Last updated
05/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us