Individual
MR. KRISTOPHER CASEY KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEDORTHIST
Contact information
Practice address
31863 29TH ST, PAW PAW, MI 49079-8422
(269) 873-3541
Mailing address
31863 29TH ST, PAW PAW, MI 49079-8422
(269) 873-3541
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
3509
MI
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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