William Stewart Ketcham in Garner - Specialist

William Stewart Ketcham - NPI 1093866006

William Stewart Ketcham is a Specialist in Garner, North Carolina. William Stewart Ketcham practices all healthcare services and medical treatments related to Specialist. The NPI Number for William Stewart Ketcham is 1093866006. The last update date is 2020-10-05.

William Stewart Ketcham's current location address is 501 Health Park Dr, Garner, North Carolina. You can contact this provider via phone number 9197723487 and fax number 9197723446. The mailing address for William Stewart Ketcham is 501 Health Park Dr, Garner, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name William Stewart Ketcham
Address 501 Health Park Dr, Garner, North Carolina
Phone Number 9197723487
Fax Number 9197723446
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1093866006
Provider Enumeration Date 2007-01-16
Last Updated Date 2020-10-05

Provider Mailing Address Detail

Address 501 Health Park Dr
City Garner
State North Carolina (NC)
Post Code 275297051
Phone Number 9197723487
Fax Number 9197723446

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 29605
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70014474 NC RR MEDICARE
30499 NC PARTNERS
4510902 NC AETNA
3330875-004 NC CIGNA
95508 NC MEDCOST
0273L NC BCBS GROUP NUMBER
48795 NC BCBS IND
562147357 NC UHC
290649 NC MAMSI

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FAQs about William Stewart Ketcham

What is the unique identifier code issued to William Stewart Ketcham by the Centers for Medicare & Medicaid Services?

The William Stewart Ketcham has been assigned the NPI (National Provider Identifier) 1093866006. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where William Stewart Ketcham is geographically located?

The William Stewart Ketcham is physically situated at the following location: 501 Health Park Dr, Garner, NC, 275297051.

What is the area of specialization for William Stewart Ketcham, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for William Stewart Ketcham is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1093866006 to William Stewart Ketcham?

The Centers for Medicare & Medicaid Services assigned the 1093866006 to William Stewart Ketcham on 2007-01-16.

As of what date were the details pertaining to William Stewart Ketcham last refreshed?

The information related to the William Stewart Ketcham, including its address, specialty, and other relevant details, was last updated on 2020-10-05.

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