Krista L Ketcham in Carrollton - Professional

Krista L Ketcham - NPI 1538216510

Krista L Ketcham is a Professional in Carrollton, Texas. Krista L Ketcham practices all healthcare services and medical treatments related to Professional. The NPI Number for Krista L Ketcham is 1538216510. The last update date is 2011-11-02.

Krista L Ketcham's current location address is 4100 Fairway Dr, Carrollton, Texas. You can contact this provider via phone number 2145020991. The mailing address for Krista L Ketcham is 4100 Fairway Dr, Carrollton, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Krista L Ketcham
Address 4100 Fairway Dr, Carrollton, Texas
Phone Number 2145020991
Fax Number
Sole Proprietor Y
Credentials M.ED., LPC

NPI Number Detail

NPI Number 1538216510
Provider Enumeration Date 2007-01-04
Last Updated Date 2011-11-02

Provider Mailing Address Detail

Address 4100 Fairway Dr
City Carrollton
State Texas (TX)
Post Code 750106525
Phone Number 2145020991
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 19645
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Krista L Ketcham

What is the Krista L Ketcham's 1538216510?

The Krista L Ketcham's NPI (National Provider Identifier) Number is 1538216510. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Krista L Ketcham is physically located?

The Krista L Ketcham is situated at the following address: 4100 Fairway Dr, Carrollton, TX 750106525.

What is the Krista L Ketcham's area of specialization and corresponding taxonomy classification?

The Krista L Ketcham's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.

On what date was the 1538216510 assigned to Krista L Ketcham?

The Krista L Ketcham was issued its 1538216510 on 2007-01-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Krista L Ketcham most recently updated or revised?

The information pertaining to Krista L Ketcham, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-02.

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