IndividualActive
Autumn Ketcher
NPI 1043561590 · Specialist · Welling, OK
Provider details
- NPI number
- 1043561590
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
27753 S Welling Rd
Welling, OK 74471-2202
Phone: (918) 457-5595
Approximate (ZIP-level) locationGet directions
Mailing address
27753 S Welling Rd
Welling, OK 74471-2202
Registry dates
- Enumerated
- 2012-09-24
- Last updated
- 2012-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.