SearchArizona363A00000X

Nicolette Mcdermott-Ketchum, PAC

NPI 1417947813 · on the registry since 2005

Practice

Address
Hwy 160 & Mp 394.3
Kayenta, AZ 86033
Phone
(928) 697-4000
Clinicians at this address
6

Additional practice sites

  • Us Hwy 491 North, Shiprock, NM

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-03

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 Arizona