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

MS. Nicolette McDermott-Ketchum, PAC

Individual provider Physician Assistant · NPI 1417947813

MS. Nicolette McDermott-Ketchum, PAC is a Physician Assistant in Kayenta, Arizona. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

Hwy 160 & Mp 394.3
Kayenta, AZ 86033
Phone: (928) 697-4000
Show map & directions

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

Additional practice locations (1)

  • Us Hwy 491 North, Shiprock, NM 87420 — (505) 368-6401

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20030034 (NM)

Record details

NPI number1417947813
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESJanuary 3, 2019

Other providers in Kayenta