MR. DESMOND E KETTER


Address: 4071 S 211th East Ave, Broken Arrow, OK 74014-8717
Phone: 9186456064

MR. DESMOND E KETTER (NPI# 1194296210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194296210
Entity Type Individual
Full Name MR. DESMOND E KETTER
Other Name MR. DESMOND E KETTER
Practice Address 4071 S 211th East Ave
Broken Arrow
OK 74014-8717
Practice Telephone 9186456064
Mailing Telephone 9186456064
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 4071 S 211TH EAST AVE
City BROKEN ARROW
State OK
Zip Code 74014-8717

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962013110 Team Clinic Management Partners LLC Clinic/Center 4300 E Gary Street, Broken Arrow, OK 74014 2020-08-12
1497306260 Donna Norton Technician 5311 East Madison Place, Broken Arrow, OK 74014 2019-09-24
1588159420 Guadalupe Luis Social Worker 8000 E New Orleans St, Broken Arrow, OK 74014 2018-06-23
1083102099 Hailey Elaine Kimball Specialist/Technologist 7251 South 301st East Avenue, Broken Arrow, OH 74014 2018-04-25
1508365800 Kayla Porche Speech-Language Pathologist 3500 E Kenosha, Broken Arrow, OK 74014 2018-02-02
1073973392 Heather Miller Behavioral Analyst 932 Hillcrest Drive, Broken Arrow, OK 74014 2016-02-29
1346518677 Julie Genet Henry Speech-Language Pathologist 3294 S 202nd East Ave, Broken Arrow, OK 74014 2011-12-01
1619265212 Katie Leigh Elliott Physician Assistant 7301 E Nashville St, Broken Arrow, OK 74014 2011-07-16
1407084676 Jeremiah D Wilhite Physical Therapist 2560 East Kenosha Street, Broken Arrow, OK 74014 2009-06-26
1194963041 Longnecker Counseling and Consulting Counselor 7014 S. 235th E. Ave., Broken Arrow, OK 74014 2009-01-30
Find all providers in zip 74014

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689292906 Natasha Firth Case Manager/Care Coordinator 1508 S Aspen Ct, Broken Arrow, OK 74012-6201 2020-07-13
1669008561 Jad Alkhatib Case Manager/Care Coordinator 3804 S Yellow Pine Ave, Broken Arrow, OK 74011-1270 2020-03-23
1942836598 Joseph Caleb Michela Case Manager/Care Coordinator 802 E Toledo St, Broken Arrow, OK 74012-6513 2020-03-16
1326679911 Anthea Miller Case Manager/Care Coordinator 8224 S Murphree Dr, Broken Arrow, OK 74014-3033 2020-01-31
1780222794 Carlos L Guzman Case Manager/Care Coordinator 3411 W Edgewater Pl, Broken Arrow, OK 74012-7666 2019-12-20
1689210171 Ellen Ruth Byers Case Manager/Care Coordinator 7312 S Garnett Rd Apt 337, Broken Arrow, OK 74012-8744 2019-11-20
1881235026 Jeffrey Hughes Case Manager/Care Coordinator 19702 E 49th St S, Broken Arrow, OK 74014-1369 2019-09-30
1073163036 Ceirra Kay Moran Case Manager/Care Coordinator 1101 W Houston St Apt 904, Broken Arrow, OK 74012-3755 2019-09-12
1861047631 Charles Vernon Atkins Jr. Case Manager/Care Coordinator 3606 S Fir Ct, Broken Arrow, OK 74011-1751 2019-08-07
1063064566 Kelly P Austin Case Manager/Care Coordinator 1903 S Lions Ave, Broken Arrow, OK 74012-6932 2019-07-15
Find all providers in BROKEN ARROW

Competitor

Search similar providers

City BROKEN ARROW
Zip Code 74014

Improve Information

Please comment or provide details below to improve the information on MR. DESMOND E KETTER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches