Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1821060898

Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is an Anatomic Pathology & Clinical Pathology Physician in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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Practice location Address checks out

1899 Eider Ct
Tallahassee, FL 32308-4537
Phone: (850) 878-5143
Fax: (850) 942-6622
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Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 800000042 (FL)

Record details

NPI number1821060898
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKetchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert
Authorized official Angela Fuqua — Administrator · (850) 219-7603
NPI enumeratedFebruary 3, 2006
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020
Mailing address1899 Eider Ct, Tallahassee, FL 32308-4537

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