Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN F. KETCHUM, D.P.M.
Active Sole ProprietorJONATHAN F. KETCHUM, D.P.M. is a Radiology Podiatrist healthcare provider located in WORCESTER, Massachusetts. NPI 1922195627 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · WORCESTER, MA
Registration Details
- NPI Number
- 1922195627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.668078565482 yrs)
- Last Updated
- Mar 25, 2008
- License
-
2087 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
488 PLEASANT STWORCESTER, MA, 016091857Browse MA providers · Browse ZIP 01609
- Phone
- 5087559573
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
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.