Katherine Jo Ketcher, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009709 Issued in WA

Practice address

1829 Jefferson St
Shelton, WA 98584-2004

Phone

(360) 426-8401

Fax

(360) 426-1427

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Katherine Jo Walker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ketcher & Edwards, PLLC

  • General Practice Dentistry
  • Shelton, WA
  • NPI 1134563471
  NPD (past) Authorized official
• Ketchers' Dental PLLC

  • General Practice Dentistry
  • Shelton, WA
  • NPI 1063553014
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1427022326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 JEFFERSON ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842004",
            "telephone_number": "360-426-8401",
            "fax_number": "360-426-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 JEFFERSON ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842004",
            "telephone_number": "360-426-8401",
            "fax_number": "360-426-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHER",
        "first_name": "KATHERINE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WALKER",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Matundura Kerema
• Maureen Bernadette Kerin, PTA
• Holly Ann Kerr
• Jason Anthony Kerr, RN
• Ketcher & Edwards, PLLC
• Ketchers' Dental PLLC
• Jennifer Keyzers
• Anna Kiliona, L. AC.
• Franz M Kilmer-Shoultz
• Kelly Gale Kimbel, LMHC

• General Practice Dentistry in Shelton, WA
• Providers in Shelton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.