Individual
DR. DAVID C KETCHUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2647 BOX CANYON DR, LAS VEGAS, NV 89128-0450
(702) 363-5575
(702) 646-1727
Mailing address
2647 BOX CANYON DR, LAS VEGAS, NV 89128-0450
(702) 363-5575
(702) 646-1727
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
B842
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B842
CHIR BD OF NV LICENSE
NV
Enumeration date
06/28/2005
Last updated
07/09/2007
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