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

Mrs. Ketra Shelly Ikezuagu, MD

Individual provider Family Medicine Physician · NPI 1164672366

Mrs. Ketra Shelly Ikezuagu, MD is a Family Medicine Physician in Put in Bay, Ohio. Licensed in Ohio. Registered with an NPI since 2008.

Licensed in
OH
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

528 Catawba Ave
Put in Bay, OH 43456
Phone: (419) 285-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35129203 (OH)

Record details

NPI number1164672366
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 24, 2008
Last updated in NPPESMay 4, 2017