Individual
RAYMOND H KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7320 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255-7453
(480) 502-0250
(480) 596-2490
Mailing address
2326 W LAUREL LN, PHOENIX, AZ 85029-3423
(602) 824-9935
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
220932
AZ
363LF0000X
Family Nurse Practitioner
220932
AZ
Other
Enumeration date
01/21/2019
Last updated
02/09/2021
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