Tamar Ketchum

NPI 1164250239 · on the registry since 2024

Practice

Address: 3507 N University Ave Ste 225
Provo, UT 84604
Phone: (317) 800-0340
Organisation at this address: Cazier Care Llc
Max Ah Quin, Llc
Ben Weinheimer Pllc
Rivendell Clinic Llc
Coronado Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-22

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 Utah