SOPHIA JOSEPHINE KETCHMARK

OMAHA, NE
NPI1508582446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  2878)
Enumeration Date2022-10-12
Last Update Date2023-02-01
Business Address
SOPHIA JOSEPHINE KETCHMARK Physician Assistant
EMILE AND 42ND STREET
OMAHA, NE 68198-4440
Phone number: 402-559-4000
Mailing Address
SOPHIA JOSEPHINE KETCHMARK Physician Assistant
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number:
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