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KIRSTEN MICAELA KETCHERSID
NPI 1295475788
Nurse Practitioner - Pediatrics in Dallas, TX

Active since March 31, 2022
12895 JOSEY LN STE 114, DALLAS, TX 75234(972) 532-9967(972) 495-2287 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kirsten Micaela Ketchersid NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRSTEN MICAELA KETCHERSID (NPI 1295475788) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (1019995) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1295475788
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKIRSTEN MICAELA KETCHERSID
Location Address12895 JOSEY LN STE 114Dallas, TX 75234-8300
Mailing Address14100 San Pedro Ave Ste 412San Antonio, TX 78232-2009 · (210) 281-8669 · Fax (210) 314-5044
Phone(972) 532-9967
Fax(972) 495-2287
Sole ProprietorNo
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1295475788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1019995
12895 JOSEY LN STE 114, Dallas, TX 75234
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.Insurance ›

Reviews for KIRSTEN MICAELA KETCHERSID

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Frequently Asked Questions

What is Kirsten Ketchersid's NPI number?

The NPI number assigned to this healthcare provider is 1295475788, enumerated as an "individual" on March 31, 2022.

Where is the provider located?

The provider is located at 12895 JOSEY LN STE 114 DALLAS, TX 75234 and the phone number is (972) 532-9967.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

What insurance does Kirsten Ketchersid accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, CHRISTUS. Please consult your insurance carrier or call the provider to verify.