Individual
DR. MONICA KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MA
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2023026293
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2023
Last updated
07/06/2023
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