Kevin L Ketchum, M.D.
NPI #1396717831 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1396717831
- Entity Type
- Individual
- Name
- Kevin L Ketchum, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- M.D.
- Enumeration Date
- Feb 7, 2006
- Last Updated
- Jan 5, 2009
Practice Location
- Address
- 481 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-3748
- Phone
- (920) 921-5676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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