| Keturah Health, Llc | |
|
2455 Robinson Rd Ste 100 Grand Prairie TX 75051-3852 | |
| (469) 626-8195 | |
| (469) 857-8492 |
| Full Name | Keturah Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2455 Robinson Rd Ste 100, Grand Prairie, Texas |
| Authorized Official Name and Position | Ket Harris (NURSE PRACITITIONER) |
| Authorized Official Contact | 4696268195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keturah Health, Llc 750 E Us Highway 80 Ste 200-612 Forney TX 75126-8722 Ph: (469) 626-8195 | Keturah Health, Llc 2455 Robinson Rd Ste 100 Grand Prairie TX 75051-3852 Ph: (469) 626-8195 |
| NPI Number | 1679021042 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 06/04/2025 |
| Medicare PECOS PAC ID | 4082971213 |
|---|---|
| Medicare Enrollment ID | O20171127001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679021042 | NPI | - | NPPES |
| Provider Name | Ket Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588911705 PECOS PAC ID: 4789833609 Enrollment ID: I20121009000153 |
| Provider Name | Cynthia B Sewoyeba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922585843 PECOS PAC ID: 4880121797 Enrollment ID: I20241217000754 |
| Provider Name | Karen Giddings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306676283 PECOS PAC ID: 8628505112 Enrollment ID: I20241223000569 |
| Provider Name | Harrison Koranteng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477399095 PECOS PAC ID: 2668901885 Enrollment ID: I20250131002979 |
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