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.

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

Peer SpecialistPrimary175T00000X
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

More OK providers

Mailing address