person
Mrs. Susan Marie Ketchem, PA-C
Medical Physician Assistant in Philippi, West Virginia
NPI 1841276946

Susan Marie Ketchem is a Medical Physician Assistant based in Philippi, WV and is specialized in Medical. Susan Marie Ketchem practices in Philippi, WV and has the professional credentials of PA-C. The NPI Number for Susan Marie Ketchem is 1841276946 and holds a License No. 01397 (West Virginia).

The current practice location address for Susan Marie Ketchem is 116 Mcclellan Rd, Philippi, WV and can be reached out via phone at 304-457-2800 and via fax at 304-457-4011.

Location: 116 Mcclellan Rd, Philippi, WV, 26416-8076
person
Provider Profile Details
NPI Number
1841276946
Provider Name
Susan Marie Ketchem
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
116 Mcclellan Rd, Philippi, WV, 26416-8076
Phone Number
304-457-2800
Fax Number
304-457-4011
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841276946 01 WV MT STATE BC/BS
WV01397 01 WV THE HEALTH PLAN
3810000464 05 WV
institution
Provider Business Practice Location Address Details
Address
116 Mcclellan Rd
City
State
Zip
26416-8076
Phone Number
304-457-2800
Fax Number
304-457-4011
person
Provider Business Mailing Address Details
Address
116 Mcclellan Rd
City
State
Zip
26416-8076
Phone Number
304-457-2800
Fax Number
304-457-4011
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01397 (West Virginia)
Definition
Definition to come...
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