Individual
MS. KAREN MARIE KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN, CDE
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-2637
(518) 926-2091
Mailing address
21 5TH ST, GLENS FALLS, NY 12801-4215
(518) 338-3953
(518) 926-2091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002240-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002240-1
DIETETICS AND NUTRITION
NY
Enumeration date
03/27/2007
Last updated
07/09/2007
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