Carey Wayne Ketchum in Forestdale - Internal Medicine

Carey Wayne Ketchum - NPI 1518934140

Carey Wayne Ketchum is a Internal Medicine in Forestdale, Alabama. Carey Wayne Ketchum practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Carey Wayne Ketchum is 1518934140. The last update date is 2007-07-08.

Carey Wayne Ketchum's current location address is 1664 Forestdale Blvd, Forestdale, Alabama. You can contact this provider via phone number 2057912273 and fax number 2057919753. The mailing address for Carey Wayne Ketchum is 1664 Forestdale Blvd, Forestdale, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Carey Wayne Ketchum
Address 1664 Forestdale Blvd, Forestdale, Alabama
Phone Number 2057912273
Fax Number 2057919753
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1518934140
Provider Enumeration Date 2006-03-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1664 Forestdale Blvd
City Forestdale
State Alabama (AL)
Post Code 35214
Phone Number 2057912273
Fax Number 2057919753

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 10232
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51590263 AL BLUE CROSS BLUE SHIELD
P00155440 AL RAILROAD MEDICARE

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FAQs about Carey Wayne Ketchum

What is the unique 10-digit identifier code issued to Carey Wayne Ketchum by the Centers for Medicare & Medicaid Services?

The Carey Wayne Ketchum has been assigned the NPI (National Provider Identifier) 1518934140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Carey Wayne Ketchum's facilities are geographically located?

The facilities of Carey Wayne Ketchum are physically situated at the following location: 1664 Forestdale Blvd, Forestdale, AL, 35214.

What is Carey Wayne Ketchum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Carey Wayne Ketchum is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

When was the Carey Wayne Ketchum's 1518934140 issued?

The Carey Wayne Ketchum's 1518934140 was issued on 2006-03-02.

As of what date was the information regarding Carey Wayne Ketchum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Carey Wayne Ketchum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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