SearchIllinois133V00000X

Kaela Ketcham, RD, LDN

NPI 1871079061 · on the registry since 2018

Practice

Address
600 Ne Water St
Peoria, IL 61603
Phone
(309) 282-1604
Clinicians at this address
4

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-11

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 Illinois