| Mrs Stacie Ketcham, LPN | |
|
9040 Reid St, Attn:mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 | |
| (253) 968-2252 | |
| Not Available |
| Full Name | Mrs Stacie Ketcham |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 9040 Reid St, Joint Base Lewis Mcchord, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144696865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP 60538305 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacie Ketcham, LPN 9040 Reid St, Attn:mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 Ph: (253) 968-2252 | Mrs Stacie Ketcham, LPN 9040 Reid St, Attn:mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 Ph: (253) 968-2252 |
Chanel Pedersen, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438 Phone: 253-982-5603 | |
Mr. Michael C Saenz, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 626-633-2480 | |
Cathy Crawford, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1484 | |
Quantrell L Felder, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-3066 | |
Mr. Brian D Worley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: Mamc 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1836 |