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Anna Ketcham
Family Nurse Practitioner in Beavercreek, Ohio
NPI 1669859229

Anna Ketcham is a Family Nurse Practitioner based in Beavercreek, OH and is specialized in Family. Anna Ketcham practices in Beavercreek, OH. The NPI Number for Anna Ketcham is 1669859229 and holds a License No. COA.17080-NP (Ohio).

The current practice location address for Anna Ketcham is 3572 Dayton Xenia Rd, Beavercreek, OH and can be reached out via phone at 937-427-4600.

Location: 3572 Dayton Xenia Rd, Beavercreek, OH, 45432-2838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669859229
Provider Name
Anna Ketcham
Credential
Provider Entity Type
Individual
Gender
Female
Address
3572 Dayton Xenia Rd, Beavercreek, OH, 45432-2838
Phone Number
937-427-4600
Fax Number
Provider Enumeration Date
05/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000966352 01 OH ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
3572 Dayton Xenia Rd
City
Beavercreek
State
Ohio
Zip
45432-2886
Phone Number
937-427-4600
Fax Number
person
Provider Business Mailing Address Details
Address
3572 Dayton Xenia Rd
City
Beavercreek
State
Ohio
Zip
45432-2886
Phone Number
937-427-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.17080-NP (Ohio)
Definition
Definition to come...
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