person
Sedra Jo Ketcham, APRN
Gerontology Nurse Practitioner in South Bend, Indiana
NPI 1578803045

Sedra Jo Ketcham is a Gerontology Nurse Practitioner based in Granger, IN and is specialized in Gerontology. Sedra Jo Ketcham practices in South Bend, IN and has the professional credentials of APRN. The NPI Number for Sedra Jo Ketcham is 1578803045 and holds a License No. 71010526A (Indiana).

The current practice location address for Sedra Jo Ketcham is 615 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-3050. You can also correspond with Sedra Jo Ketcham through the mailing address at 3245 HEALTH DRIVE, GRANGER, IN - 46530-3245 (mailing address contact number: 574-647-1840).

Location: 615 N Michigan St, South Bend, IN, 46530-3245
person
Provider Profile Details
NPI Number
1578803045
Provider Name
Sedra Jo Ketcham
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
615 N Michigan St, South Bend, IN, 46530-3245
Phone Number
574-647-3050
Fax Number
Provider Enumeration Date
02/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300044987 05 IN
7100256130 05 KY
institution
Provider Business Practice Location Address Details
Address
615 N Michigan St
City
State
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
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Provider Business Mailing Address Details
Address
615 N Michigan St
City
State
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
2014013264 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71010526A (Indiana)
Definition
Definition to come...
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