IndividualActive
Beaux Ketchum
NPI 1578413563 · Peer Specialist · Lawton, OK
Beaux Ketchum is a Peer Specialist provider in Lawton, OK (NPI 1578413563).
Provider details
- NPI number
- 1578413563
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1320 Nw Homestead Dr Ste G
Lawton, OK 73505-5243
Phone: (714) 477-4605
Street-level locationGet directions
Mailing address
1320 Nw Homestead Dr Ste G
Lawton, OK 73505-5243
Registry dates
- Enumerated
- 2026-01-30
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Frequently asked questions
- What is Beaux Ketchum's NPI number?
- Beaux Ketchum's National Provider Identifier (NPI) is 1578413563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Beaux Ketchum's specialty?
- Beaux Ketchum is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Beaux Ketchum located?
- Beaux Ketchum's practice location on file with NPPES is 1320 Nw Homestead Dr Ste G, Lawton, OK 73505-5243.
- What is Beaux Ketchum's phone number?
- The practice phone number listed in the NPPES registry for Beaux Ketchum is (714) 477-4605.
- Is Beaux Ketchum's NPI active?
- Yes — Beaux Ketchum's NPI (1578413563) is active in the NPPES registry as of the last update on 2026-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.