Tyler Lane Ketchem
Tyler Lane Ketchem is a Personal Care Attendant in Parkersburg, West Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4421 Emerson Ave Ste 204Parkersburg, WV 26104-1200
Phone: (304) 295-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1861086555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 24, 2021 |
| Last updated in NPPES | February 24, 2021 |
| Certification date | February 24, 2021 |
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