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Search › California › Addiction Medicine (Family Medicine) Physician

Myles Ketchum, M.D., PH.D

NPI 1093249864 · on the registry since 2017 · sole proprietor

Practice

Address
2360 Mendocino Ave
Santa Rosa, CA 95403
Phone
(707) 573-5250
Fax
(707) 573-5458
Organisation at this address
Santa Rosa Dental
Jp Medical Solutions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Addiction Medicine (Family Medicine) Physician
207QA0401X
Also registered as
Addiction Medicine (Preventive Medicine) Physician
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-27

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 California