MS. VICTORIA L KETCHUM (NPI# 1780875617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780875617 |
| Entity Type | Individual |
| Full Name | MS. VICTORIA L KETCHUM |
| Credential | ATC |
| Practice Address |
E. Cowles Fairbanks Memorial Hospital Fairbanks AK 99702 |
| Mailing Address |
Po Box 83442 Fairbanks AK 99708-3442 |
| Practice Telephone | 9074566561 |
| Mailing Telephone | 9074744848 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
E. COWLES FAIRBANKS MEMORIAL HOSPITAL |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864904 | Eric Noll | Optometrist | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2013-03-04 |
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1063649234 | John Michael Strothenke | Military Health Care Provider | 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 | 2009-06-16 |
| 1225272073 | Landru Derek Medvec | Military Health Care Provider | 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 | 2009-04-23 |
| 1689768103 | Angie M. Walker | Social Worker | 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 | 2006-10-02 |
| 1306945464 | 354th Medical Group Mdg | Military/U.S. Coast Guard Pharmacy | Bldg 3349 Central Ave, Eielson Afb, AK 99702 | 2006-09-22 |
| 1760442297 | Susan Mary Runyan | Dietitian, Registered | 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 | 2006-03-27 |
| 1972166916 | Andrew Joseph Colburn | Registered Nurse | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2019-04-16 |
| 1952885121 | Anthony Ewell-kollmann | Dentist | 2630 Central Ave, Eielson Afb, AK 99702 | 2018-09-24 |
| 1306375704 | Robert Marshall Walter | Dentist | 2630 Central Ave Bldg 3349, Eielson Afb, AK 99702 | 2017-06-08 |
| Find all providers in zip 99702 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114378031 | Thomas Walton | Specialist | 505 Illinois St Ste 4, Fairbanks, AK 99701-2946 | 2016-06-22 |
| 1386815678 | Interior Alaska Orthopedic & Sports Medicine Inc | Specialist | 2310 Peger Rd Ste 105, Fairbanks, AK 99709-5305 | 2008-03-14 |
| 1851596290 | Healthy Connections | Specialist | 530 7th Ave Ste 3, Fairbanks, AK 99701-4971 | 2007-06-16 |
| 1417159864 | William Robert Packee | Specialist | 709 Baffin Court, Fairbanks, AK 99701 | 2007-06-05 |
| 1396813762 | Jawana Jean Cox | Specialist | 654 Wagner Ln, Fairbanks, AK 99712-2827 | 2006-12-01 |
| 1609981265 | John W. Joosse | Specialist | 1411 19th Ave, Fairbanks, AK 99701-5902 | 2006-08-21 |
| 1649384744 | Kathie Lorraine Felker | Specialist | 515 7th Ave, Suite 130, Fairbanks, AK 99701-4933 | 2006-08-18 |
| 1619523438 | Lisa Marie Mcenulty | Specialist | 1027 Evergreen St, Fairbanks, AK 99709-4306 | 2019-08-16 |
| 1548814460 | Heidi Rosabelle Webb | Specialist | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2019-07-29 |
| 1801449467 | Danere Denise Hanna | Specialist | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2019-07-22 |
| Find all providers in FAIRBANKS | ||||
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| 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.