Individual
CARL ANDERSON KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
(702) 992-6888
Mailing address
2101 W WARM SPRINGS RD APT 3314, HENDERSON, NV 89014-5517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
08/01/2023
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