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

Kirsten Micaela Ketchersid

Individual provider Pediatric Nurse Practitioner · NPI 1295475788

Kirsten Micaela Ketchersid is a Pediatric Nurse Practitioner in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022

Practice location Address checks out

12895 Josey Ln Ste 114
Dallas, TX 75234-8300
Phone: (972) 532-9967
Fax: (972) 495-2287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1019995 (TX)

Record details

NPI number1295475788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

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