SearchColorado163WH0200X

Mark Ketchum, R.N

NPI 1043456007 · on the registry since 2008 · sole proprietor

Practice

Address
3061 E 109th Ave
Northglenn, CO 80233
Phone
(720) 271-0628
Fax
(303) 953-1217

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado