National Provider Identifier

Alicia Ketchum, LPN

Alicia Ketchum, LPN is listed in the NPPES registry with a primary specialty of Home Health Agency in Painted Post, NY and a listed phone number of (607) 684-8825.

NPI 1750638433Painted Post, NYHome Health Agency

Profile Overview

NPI
1750638433
Provider Type
Individual
Primary Specialty
Home Health Agency
Enumeration Date
August 13, 2012
Last Updated
August 13, 2012

Practice Location

  • 3 New Haven RD
  • Painted Post, NY 14870-9326

Phone: (607) 684-8825

Specialties

  • Home Health Agency (251E00000X)
Full Record
NPI
1750638433
Entity Type
Individual
Last Name
Ketchum
First Name
Alicia
Credential
LPN
Mailing Street Address
3 New Haven RD
Mailing City
Painted Post
Mailing State
NY
Mailing ZIP Code
14870-9326
Mailing Country
US
Mailing Phone
(607) 684-8825
Practice Street Address
3 New Haven RD
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9326
Practice Country
US
Practice Phone
(607) 684-8825
Enumeration Date
August 13, 2012
Last Updated
August 13, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Home Health Agency (251E00000X)