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Gregory Ketchum
NPI 1245637958 · on the registry since 2014 · sole proprietor
Practice
- Address
- 806 Rumford Court
Fort Collins, CO 80525 - Phone
- (970) 377-0992
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-24
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