- Practice location
- 1643 Fiddle Hill RD, Sudbury, VT 05733-9579
- Phone
- 802-989-1188
- Fax
- —
- Last updated
- June 12, 2009
Jody L Ketcham is a Registered Nurse based in Sudbury, VT. Jody L Ketcham practices in Sudbury, VT and has the professional credentials of RNC. The NPI Number for Jody L Ketcham is 1457588865 and holds a License No. 591149-1 (NY). The current practice location address for Jody L Ketcham is 1643 Fiddle Hill RD, Sudbury, VT 05733-9579 and can be reached out via phone at 802-989-1188.
Provider Profile Details
- NPI Number
- 1457588865
- Provider Name
- Jody L Ketcham
- Credential
- RNC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1643 Fiddle Hill RD, Sudbury, VT 05733-9579
- Phone Number
- 802-989-1188
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 12, 2009
- Last Update Date
- June 12, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1643 Fiddle Hill RD
Sudbury, VT 05733-9579 - City
- Sudbury
- State
- Vermont
- Zip
- 05733-9579
- Phone Number
- 802-989-1188
Provider Business Mailing Address Details
- Address
- 1643 Fiddle Hill RD
Sudbury, VT 05733-9579 - City
- Sudbury
- State
- VT
- Zip
- 05733-9579
- Phone Number
- 802-989-1188
License Information
- License Number (1)
- 591149-1
- License State (1)
- NY
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 026.0031487
- License State (2)
- VT
- Taxonomy (2)
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near Sudbury, VT
View all Registered Nurses in Sudbury →Frequently Asked Questions
What is the NPI number of Jody L Ketcham, RNC?
The NPI number of Jody L Ketcham, RNC is 1457588865. It was assigned on June 12, 2009 and is currently active in the NPPES registry.
What is the specialty of Jody L Ketcham, RNC?
Jody L Ketcham, RNC is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 591149-1.
Where does Jody L Ketcham, RNC practice?
The practice location is 1643 Fiddle Hill RD, Sudbury, VT 05733-9579. The office can be reached at 802-989-1188 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457588865 directly on the NPPES registry website.