Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK KETCHUM, R.N.
Active Sole ProprietorMARK KETCHUM, R.N. is a Home Health Nurse healthcare provider located in NORTHGLENN, Colorado. NPI 1043456007 is currently active in the NPPES registry. Verify at CMS.
Home Health Nurse · NORTHGLENN, CO
Registration Details
- NPI Number
- 1043456007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2008 (17.682686683783 yrs)
- Last Updated
- Dec 22, 2008
- License
-
176755 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3061 E 109TH AVENORTHGLENN, CO, 802335475Browse CO providers · Browse ZIP 80233
- Phone
- 7202710628
- Fax
- 3039531217
- Primary Specialty
-
Home Health Nurse
163WH0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.