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Contact Information

JODY L KETCHAM, RNC
1643 FIDDLE HILL RD
SUDBURY, VT05733-9579
 Phone: 802-989-1188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JODY L KETCHAM · (Female)

NPI Number 1457588865
Status Active
Credentials RNC
Entity Individual
Enumeration date 06/12/2009
Last updated 06/12/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 591149-1
  • VT License # 026.0031487
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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