Search › Colorado › 207Q00000X
Jeffrey Ketcham, M.D
NPI 1548630700 · on the registry since 2015 · sole proprietor
Practice
- Address
- 12753 Mission Meadow Dr
Colorado Springs, CO 80921 - Phone
- (831) 333-6159
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-30
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