Individual
DR. JAMES W KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15945 CLAYTON RD, SUITE 310, BALLWIN, MO 63011-2490
(636) 256-5350
(636) 256-5372
Mailing address
15945 CLAYTON RD, SUITE 310, BALLWIN, MO 63011-2490
(636) 256-5350
(636) 256-5372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8D28
MO
Other
Enumeration date
02/28/2006
Last updated
10/26/2011
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