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Krizia Marie Ketchum

NPI Registration Record

Provider / OrganizationNPIDate Certified
KRIZIA MARIE KETCHUM19125893002021-04-25

Krizia Marie Ketchum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912589300. Registration indicates Krizia Marie Ketchum is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Specialist/Technologist (Specialist/Technologist: Speech-Language Assistant, ) (Specialist/Technologist Speech-Language Assistant, Speech, Language and Hearing Service Providers) (Specialist/Technologist, )

Entity TypeIndividual
Provider Name Krizia Marie Ketchum
Practice Office Address901 CLARK ST
OVIEDO, FL US
Practice Office Telephone4073595693
Practice Office Fax4077925693
Mailing Address5212 LAKE MARGARET DR APT 1212
ORLANDO, FL 328126113 US
Business Telephone3059727001
HPT Codes
CodePractice
License No
State
2355S0801X PRIMARY
Speech, Language and Hearing Service Providers
Specialist/Technologist
Specialist/Technologist: Speech-Language Assistant

Specialist/Technologist Speech-Language Assistant
Speech, Language and Hearing Service Providers
Specialist/Technologist
SI4278
FL
OPI Codes

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