Individual
ROBIN KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 512347, LOS ANGELES, CA 90051-0347
(714) 456-8068
(714) 456-3765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
415825
CA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
415825
CA
Other
Enumeration date
06/20/2007
Last updated
01/22/2015
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