IndividualActive
Casey Ketchum, BA
NPI 1083543136 · Peer Specialist · Antlers, OK
Provider details
- NPI number
- 1083543136
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
Practice location
107 S High St
Antlers, OK 74523-3818
Phone: (580) 298-2830
Fax: (580) 298-6723
Mailing address
107 S High St
Antlers, OK 74523-3818
Registry dates
- Enumerated
- 2026-05-15
- Last updated
- 2026-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.