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David Ketcham, BA

NPI 1609180041 · on the registry since 2010

Practice

Address
143 Sonora Ct
Rawlins, WY 82301
Phone
(307) 324-7156
Fax
(307) 328-1651

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-07-27

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 Wyoming