Individual
MS. VICTORIA L KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
E. COWLES, FAIRBANKS MEMORIAL HOSPITAL, FAIRBANKS, AK 99702
(907) 456-6561
Mailing address
PO BOX 83442, FAIRBANKS, AK 99708-3442
(907) 474-4848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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