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Ms. Nicolette Mcdermott-ketchum, PAC
Physician Assistant in Kayenta, Arizona
NPI 1417947813

Nicolette Mcdermott-ketchum is a Physician Assistant based in Kayenta, AZ. Nicolette Mcdermott-ketchum practices in Kayenta, AZ and has the professional credentials of PAC. The NPI Number for Nicolette Mcdermott-ketchum is 1417947813 and holds a License No. PA20030034 (Arizona).

The current practice location address for Nicolette Mcdermott-ketchum is Hwy 160 & Mp 394.3, Kayenta, AZ and can be reached out via phone at 928-697-4000.

Location: Hwy 160 & Mp 394.3, Kayenta, AZ, 86033-0368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417947813
Provider Name
Nicolette Mcdermott-ketchum
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
Hwy 160 & Mp 394.3, Kayenta, AZ, 86033-0368
Phone Number
928-697-4000
Fax Number
Provider Enumeration Date
10/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61276031 05 CO
803727 05 AZ
40907503 05 NM
institution
Provider Business Practice Location Address Details
Address
Hwy 160 & Mp 394.3
City
Kayenta
State
Arizona
Zip
86033
Phone Number
928-697-4000
Fax Number
person
Provider Business Mailing Address Details
Address
Hwy 160 & Mp 394.3
City
Kayenta
State
Arizona
Zip
86033
Phone Number
928-697-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA20030034 (New Mexico)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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