| Carolyn N. Ketchel, P.a. | |
|
151 Mary Esther Blvd Suite 302 Mary Esther FL 32569-1973 | |
| (850) 243-1302 | |
| (850) 301-0671 |
| Full Name | Carolyn N. Ketchel, P.a. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 151 Mary Esther Blvd, Mary Esther, Florida |
| Authorized Official Name and Position | Carolyn N. Ketchel (PRESIDENT) |
| Authorized Official Contact | 8502431302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn N. Ketchel, P.a. Po Box 7 Shalimar FL 32579-0007 Ph: (850) 243-1302 | Carolyn N. Ketchel, P.a. 151 Mary Esther Blvd Suite 302 Mary Esther FL 32569-1973 Ph: (850) 243-1302 |
| NPI Number | 1275877086 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 02/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275877086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW4709 (Florida) | Primary |
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