Ketchum, Kevin L

Ketchum, Kevin L is an individual health care provider with primary practice located at 481 E Division St , Fond Du Lac WI 54935-3748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ketchum, Kevin L can be contacted via phone (920) 921-5676.

Contact Information

Primary practice address
481 E Division St Fond Du Lac WI 54935-3748
Phone: (920) 921-5676
Fax: (920) 921-2684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 38030 Wisconsin

Profile Details

NPI number 1396717831
LBN Legal business name Ketchum, Kevin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 5th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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