NICOLETTE MCDERMOTT-KETCHUM

DHHS NAIHS PHS KAYENTA HEALTH CENTER

Dr NICOLETTE MCDERMOTT-KETCHUM is a female medical professional, specializing in Physician Assistant. She graduated in 2001.

Contact

DHHS NAIHS PHS KAYENTA HEALTH CENTER

US HWY 160 MP 394 3
KAYENTA
AZ
860330368

Tel: 9286974000

NICOLETTE MCDERMOTT-KETCHUM Information

Npi 1417947813
Pac Id 1355466160
Professional Enrollment Id I20100916001365
Last Name MCDERMOTT-KETCHUM
First Name NICOLETTE
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DHHS NAIHS PHS KAYENTA HEALTH CENTER
Group Practice Pac Id 3678558129
Number Of Group Practice Members 40
Line 1 Street Address US HWY 160 MP 394 3
Line 2 Street Address
Marker Of Address Line 2 Suppression
City KAYENTA
State AZ
Zip Code 860330368
Phone Number 9286974000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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