Jeffrey K Ketcham in Peoria - Family Medicine
Jeffrey K Ketcham - NPI 1245229368
Jeffrey K Ketcham is a Family Medicine in Peoria, Illinois. Jeffrey K Ketcham practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeffrey K Ketcham is 1245229368. The last update date is 2007-07-08.
Jeffrey K Ketcham's current location address is 8600 N State Route 91, Peoria, Illinois. You can contact this provider via phone number 3096925393 and fax number 3096922583. The mailing address for Jeffrey K Ketcham is 8600 N State Route 91, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey K Ketcham |
|---|---|
| Address | 8600 N State Route 91, Peoria, Illinois |
| Phone Number | 3096925393 |
| Fax Number | 3096922583 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245229368 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8600 N State Route 91 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616159541 |
| Phone Number | 3096925393 |
| Fax Number | 3096922583 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 360743479 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the Jeffrey K Ketcham's unique identification number?
The Jeffrey K Ketcham has been assigned the NPI (National Provider Identifier) Number 1245229368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jeffrey K Ketcham's physical address?
The Jeffrey K Ketcham is physically located at 8600 N State Route 91, in the city of Peoria, IL, with the postal code 616159541.
What is the Jeffrey K Ketcham's specialty and taxonomy code?
The Jeffrey K Ketcham's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Jeffrey K Ketcham receive its 1245229368?
The Jeffrey K Ketcham was issued its 1245229368 on 2005-10-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jeffrey K Ketcham most recently updated?
The details pertaining to the Jeffrey K Ketcham, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.