Individual provider · Type 1 NPI

Casey James Ketchum, BA

Peer Specialist · Antlers, OK

NPI number 1083543136 Active

Practice location

107 S High St
Antlers, OK 74523-3818

Call (580) 298-2830 Map

Fax (580) 298-6723

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1083543136

Casey James Ketchum, BA's National Provider Identifier is 1083543136, issued on May 15, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Antlers, OK. The record was last updated on May 15, 2026.