Individual
KEVIN JOHN KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6623 ELLIS AVE S, SEATTLE, WA 98108-3521
(360) 333-4820
Mailing address
6623 ELLIS AVE S, SEATTLE, WA 98108-3521
(360) 333-4820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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