Individual
MR. RICHARD TINSLEY KETCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2000 6TH AVE S FL 1, BIRMINGHAM, AL 35233-2110
(205) 996-4744
Mailing address
2000 6TH AVE S FL 1, BIRMINGHAM, AL 35233-2110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-147169
AL
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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