Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NICOLETTE MCDERMOTT-KETCHUM, PAC
ActiveMS. NICOLETTE MCDERMOTT-KETCHUM, PAC is a Physician Assistant healthcare provider located in KAYENTA, Arizona. NPI 1417947813 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KAYENTA, AZ
Registration Details
- NPI Number
- 1417947813
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2005 (20.793394475699 yrs)
- Last Updated
- Jan 3, 2019
- License
-
PA20030034 (NM)
Practice Information
- Address
-
HWY 160 & MP 394.3KAYENTA, AZ, 86033Browse AZ providers · Browse ZIP 86033
- Phone
- 9286974000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KAYENTA, AZ
| Name | Credential | NPI |
|---|---|---|
| ARNOLD KETCHUM | PA-C | 1881684272 |
| MRS. SHALENE CYNETTA YAZZIE | PA-C | 1427615038 |
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.