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

SERENITY DAWN KETTERMAN

Active Sole Proprietor

Case Manager · BROKEN ARROW, OK

Registration Details

NPI Number
1295578201
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2024 (1.8803257262021 yrs)
Last Updated
Jun 17, 2024
Sole Proprietor
Yes

Practice Information

Address
2548 E KENOSHA ST
BROKEN ARROW, OK, 740146712
Browse OK providers · Browse ZIP 74014
Phone
9183550993
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in BROKEN ARROW, OK

Name Credential NPI
JASON SCOT EDGIN 1477892529
MRS. MANITA FORNEY 1588088892
WAKEL OUSLEY 1477960243
MELISSA WITHROW 1134527617
TENIKA WHITE 1053700427
KATY MCDANIEL 1649660572
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.