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1639714819
RICHARD TINSLEY KETCHAM
BIRMINGHAM, AL
NPI
1639714819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-147169)
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
Mr. RICHARD TINSLEY KETCHAM CRNP
2000 6TH AVE S FL 1
BIRMINGHAM, AL 35233-2110
Phone number: 205-996-4744
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Mailing Address
Mr. RICHARD TINSLEY KETCHAM CRNP
2000 6TH AVE S FL 1
BIRMINGHAM, AL 35233-2110
Phone number:
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