Search › Washington › 164W00000X
Stacie Ketcham, LPN
NPI 1144696865 · on the registry since 2015 · sole proprietor
Practice
- Address
- 9040 Reid St
Attn:Mchj-Clq-C
Joint Base Lewis Mcchord, WA 98431 - Phone
- (253) 968-2252
- Organisation at this address
- Madigan Army Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington