# MICHAEL C KETCHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912910191
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0102202980 | VA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 222973 | NY | — |
| 207V00000X | Obstetrics & Gynecology Physician | E-10891 | AR | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 09/07/2018