Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLINT KETCHEL, M.D.
ActiveDR. CLINT KETCHEL, M.D. is a Family Medicine healthcare provider located in LAKE ELSINORE, California. NPI 1699038125 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE ELSINORE, CA
Registration Details
- NPI Number
- 1699038125
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2012 (14.168728704546 yrs)
- Last Updated
- Feb 1, 2019
- Licenses
-
4301100963 (MI)A135564 (CA)
Practice Information
- Address
-
30195 FRASER DRLAKE ELSINORE, CA, 925307006Browse CA providers · Browse ZIP 92530
- Phone
- 9512522720
- Fax
- 7604143892
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAKE ELSINORE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MOHAMMAD REZA DANESH | M.D. | 1811999261 |
| DR. NAIMAH D. POWELL | M.D. | 1720057623 |
| BIPLAV YADAV | MD | 1508887852 |
| J M ASPREC | M.D. | 1295805679 |
| MONICA VIDAL | — | 1871791749 |
| MINQI HAO | M.D. | 1174757819 |
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.