Ketcham, Karen Marie

Ketcham, Karen Marie is an individual health care provider with primary practice located at 100 Park St , Glens Falls NY 12801-4413. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ketcham, Karen Marie can be contacted via phone (518) 926-2637.

Contact Information

Primary practice address
100 Park St Glens Falls NY 12801-4413
Phone: (518) 926-2637
Fax: (518) 926-2091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 002240-1 New York

Profile Details

NPI number 1619095890
LBN Legal business name Ketcham, Karen Marie
Credentials RD, CDN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 9th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619095890 NPPES
New York Other 002240-1 DIETETICS AND NUTRITION

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