Kevin L Ketchum in Fond Du Lac - Diagnostic Radiology
Kevin L Ketchum - NPI 1396717831
Kevin L Ketchum is a Diagnostic Radiology in Fond Du Lac, Wisconsin. Kevin L Ketchum practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kevin L Ketchum is 1396717831. The last update date is 2009-01-05.
Kevin L Ketchum's current location address is 481 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209215676 and fax number 9209212684. The mailing address for Kevin L Ketchum is 481 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin L Ketchum |
|---|---|
| Address | 481 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209215676 |
| Fax Number | 9209212684 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396717831 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2009-01-05 |
Provider Mailing Address Detail
| Address | 481 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353748 |
| Phone Number | 9209215676 |
| Fax Number | 9209212684 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 38030 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kevin L Ketchum by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin L Ketchum has been assigned the NPI (National Provider Identifier) 1396717831. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Kevin L Ketchum is located?
The Kevin L Ketchum is situated at the following address: 481 E Division St, Fond Du Lac, WI, 549353748.
What is Kevin L Ketchum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin L Ketchum is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
When did Kevin L Ketchum receive its 1396717831 assignment?
The Kevin L Ketchum was assigned its 1396717831 on 2006-02-07, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kevin L Ketchum most recently updated or revised?
The details related to Kevin L Ketchum, including its address, specialty, and other relevant information, were last updated or revised on 2009-01-05.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN