DR. James W Ketchum, MD

NPI #1386610376 in Ballwin, Missouri

Provider Information

NPI Number: 1386610376
Entity Type: Individual
Name: DR. James W Ketchum, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Feb 28, 2006
Last Updated: Oct 26, 2011

Practice Location

Address: 15945 CLAYTON RD
Address 2: SUITE 310
City: Ballwin
State: Missouri
ZIP Code: 63011-2490
Phone: (636) 256-5350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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