NPI 1053886739

Jessica Kate Ketz

Practitioner Case Manager/Care Coordinator Sparks, NV

Practice location

Address: 480 Galletti Way, Sparks, NV 89431-5564
Phone: (775) 688-0426
Fax: (775) 688-2192

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1053886739
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2018
Record last updated: 9 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.