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Search › Ohio › 171W00000X

Tiffini Ketchum, HIS

NPI 1407376064 · on the registry since 2017

Practice

Address
3950 Morse Rd
Columbus, OH 43219
Phone
(937) 717-8889
Fax
(937) 717-8889
Organisation at this address
Sams East Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-06-26

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 Ohio