Individual provider · Type 1 NPI

Tracey Lynn Ketchmark

Contractor · Omaha, NE

NPI number 1154129237 Active

Practice location

4715 S 132nd St
Omaha, NE 68137-1899

Call (308) 390-4378 Map

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1154129237

Tracey Lynn Ketchmark's National Provider Identifier is 1154129237, issued on Mar 5, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Omaha, NE. The record was last updated on Apr 18, 2025.