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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY KETCHAM, M.ED, A.T.C.

Active Sole Proprietor

KELLY KETCHAM, M.ED, A.T.C. is a Athletic Trainer healthcare provider located in SACRAMENTO, California. NPI 1144618158 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SACRAMENTO, CA

Registration Details

NPI Number
1144618158
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2014 (11.613204294971 yrs)
Last Updated
Dec 27, 2014
Sole Proprietor
Yes

Practice Information

Address
5900 ELVAS AVE
SACRAMENTO, CA, 958194341
Browse CA providers · Browse ZIP 95819
Phone
5304094424
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SACRAMENTO, CA

Name Credential NPI
MR. LINO MANUAL CEDROS ATC 1881683472
ARLENE LIMONGCO HAAG ATC 1316967383
MS. DARCINA ANN STARK ATC 1346260478
MR. PETE YOUNGMAN ATC 1184735912
MS. MARY LEONA LUND A.T.,C. 1588716740
MRS. DORIS ELIZABETH FLORES ATC 1366585663
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.