Individual
ROBERT S KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
330 BORTHWICK AVE STE 311, PORTSMOUTH, NH 03801-7112
(603) 692-2228
(603) 692-4748
Mailing address
21 CLARK WAY, SOMERSWORTH, NH 03878-4401
(603) 692-2228
(603) 692-4748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2194
NH
Other
Enumeration date
02/05/2009
Last updated
05/16/2024
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