Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEAUX GRANT KETCHUM
ActiveBEAUX GRANT KETCHUM is a Peer Specialist healthcare provider located in LAWTON, Oklahoma. NPI 1578413563 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · LAWTON, OK
Registration Details
- NPI Number
- 1578413563
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2026 (0.51304200275774 yrs)
- Last Updated
- Jan 30, 2026
Practice Information
- Address
-
1320 NW HOMESTEAD DR STE GLAWTON, OK, 735055243Browse OK providers · Browse ZIP 73505
- Phone
- 7144774605
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in LAWTON, OK
| Name | Credential | NPI |
|---|---|---|
| BILLY DAVIS III | — | 1770975294 |
| MR. CHRISTIAN LASITER | — | 1972995462 |
| RACHEL MARCHBANKS | — | 1821470410 |
| ELDA MARIN | — | 1003273442 |
| MARK WEBER | — | 1831551159 |
| STEPHANIE LANE | — | 1740634948 |
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.