Individual
NEAL DEXTER KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2203
(415) 883-0944
(415) 476-9516
Mailing address
500 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2203
(415) 883-0944
(415) 476-9516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
826887
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001818
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
11/29/2024
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