Individual
SARAH KETELSEN ALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
208 N MAIN ST, CORDER, MO 64021-7860
(270) 255-5028
Mailing address
208 N MAIN ST, CORDER, MO 64021-7860
(270) 255-5028
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
MO
176B00000X
Midwife
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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