Search › Nebraska › 363A00000X
Sophia Ketchmark, PHYSICIAN ASSISTANT
NPI 1508582446 · on the registry since 2022
Practice
- Address
- Emile And 42nd Street
Omaha, NE 68198 - Phone
- (402) 559-4000
- Clinicians at this address
- 2
Additional practice sites
- 1015 N 16th St Apt 217, Omaha, NE
- 4350 Dewey Ave, Omaha, NE
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-01
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 Nebraska