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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STACIE KETCHAM, LPN

Active Sole Proprietor

MRS. STACIE KETCHAM, LPN is a Licensed Practical Nurse healthcare provider located in JOINT BASE LEWIS MCCHORD, Washington. NPI 1144696865 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · JOINT BASE LEWIS MCCHORD, WA

Registration Details

NPI Number
1144696865
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2015 (10.984840366491 yrs)
Last Updated
Aug 17, 2015
License
LP 60538305 (WA)
Sole Proprietor
Yes

Practice Information

Address
9040 REID ST
ATTN:MCHJ-CLQ-C
JOINT BASE LEWIS MCCHORD, WA, 984311100
Browse WA providers · Browse ZIP 98431
Phone
2539682252
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in JOINT BASE LEWIS MCCHORD, WA

Name Credential NPI
MR. BRIAN D WORLEY LPN 1811203037
CATHY CRAWFORD LPN 1457737314
CHANEL PEDERSEN 1154877645
MR. MICHAEL C SAENZ LPN 1275195877
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.