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Individual

MS. SYLVIA M KETCHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1530 ELLIS ST, BELLINGHAM, WA 98225-4905
(360) 734-9095
Mailing address
PO BOX 1776, BLAINE, WA 98231-1776
(360) 332-5667
(360) 332-1776

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30000854
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP30000854
ARNP
WA
01
KET104307347
NATIONAL CERTIFICATION ID
WA
01
RN00054677
RN
WA
Enumeration date
10/27/2005
Last updated
03/07/2023
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