Ketch, Courtney Lynn

Ketch, Courtney Lynn is an individual health care provider with primary practice located at 655 Euclid Ave Ste 409 , National City CA 91950-2981. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Ketch, Courtney Lynn can be contacted via phone (619) 267-8313.

Contact Information

Primary practice address
655 Euclid Ave Ste 409 National City CA 91950-2981
Phone: (619) 267-8313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X A168350 California

Profile Details

NPI number 1619330677
LBN Legal business name Ketch, Courtney Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated May 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619330677 NPPES
California Other A168350 CA LICENSE

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