Sonya Lee Ketcham

Key facts

NPI

1194026328

Entity type

Individual (NPI type 1)

Primary specialty

Other Specialist/Technologist 246Z00000X

Practice address

403 Dothan Rd
Abbeville, AL 36103

Phone

(334) 369-9063

NPI assigned

Nov 4, 2010

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2010.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1194026328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "ARITON",
            "state": "AL",
            "postal_code": "36311",
            "telephone_number": "334-369-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DOTHAN RD",
            "city": "ABBEVILLE",
            "state": "AL",
            "postal_code": "36103",
            "telephone_number": "334-369-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHAM",
        "first_name": "SONYA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, AL

• Henry County Health Dept-Abbeville Prev Health Ed
• Henry County Health Dept-Abbeville Pri Care
• Henry County Health Dept-Abbeville VFC Immun
• Henry County Nursing Home
• It'S Healing Time,LLC
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Larry W McLean
• Hayley Brooke Lewis, DO
• Theron Locke, DPT

All providers in Abbeville, AL · Other Specialist/Technologist in Alabama