Individual provider · Type 1 NPI

Tiffini Gail Ketchum, HIS

Contractor · Columbus, OH

NPI number 1407376064 Active

Practice location

3950 Morse Rd
Columbus, OH 43219-3016

Call (937) 717-8889 Map

Fax (937) 717-8889

Mailing address

1025 Sundown Rd
Springfield, OH 45503-2354

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X03268 (OH)

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 1407376064

Tiffini Gail Ketchum, HIS's National Provider Identifier is 1407376064, issued on Jun 26, 2017. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Columbus, OH. The record was last updated on Jun 26, 2017.