LEAH KETCHUM

MORTON, MS
NPI1780141044
Former NameLEAH HARPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  903189)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MS  903189)
Enumeration Date2019-02-22
Last Update Date2024-04-16
Business Address
LEAH KETCHUM NP
317 HIGHWAY 13 S
MORTON, MS 39117-3353
Phone number: 601-732-6301
Mailing Address
LEAH KETCHUM NP
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698