Individual
BRENDA G. KETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,P.A.
Contact information
Practice address
124 SAWTOOTH OAK ST, HOT SPRINGS, AR 71901-7160
(501) 623-7800
(501) 623-7866
Mailing address
124 SAWTOOTH OAK ST, HOT SPRINGS, AR 71901-7160
(501) 623-7800
(501) 623-7866
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C8125
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126541001
—
AR
01
—
5J570
BCBS
AR
Enumeration date
08/12/2005
Last updated
07/02/2014
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