Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN L KETCHUM, M.D.
ActiveKEVIN L KETCHUM, M.D. is a Diagnostic Radiology healthcare provider located in FOND DU LAC, Wisconsin. NPI 1396717831 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · FOND DU LAC, WI
Registration Details
- NPI Number
- 1396717831
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2006 (20.546575099455 yrs)
- Last Updated
- Jan 5, 2009
- License
-
38030 (WI)
Practice Information
- Address
-
481 E DIVISION STFOND DU LAC, WI, 549353748Browse WI providers · Browse ZIP 54935
- Phone
- 9209215676
- Fax
- 9209212684
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| EDWARD J CHESNA | M.D. | 1710959341 |
| GREGORY B KAPALA | M.D. | 1093787632 |
| JOANELL K WHEELER | M.D. | 1962474593 |
| ABEL R CASTELLANO | M.D. | 1508838145 |
| RICHARD E SIMPSON III | M.D. | 1194798314 |
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.