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:
Health care specialties
| Specialty | Code | License # | 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 15 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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