Individual provider · Type 1 NPI

Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT

Physician Assistant · Omaha, NE

NPI number 1508582446 Active

Practice location

Emile And 42nd Street
Omaha, NE 68198-4440

Call (402) 559-4000 Map

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Other practice locations

  • 1015 N 16th St Apt 217, Omaha, NE 68102-4440 · (402) 926-6229
  • 4350 Dewey Ave, Omaha, NE 68105-1017 · (402) 552-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2878 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508582446

Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT's National Provider Identifier is 1508582446, issued on Oct 12, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Omaha, NE. The record was last updated on Feb 1, 2023.