Individual
COURTNEY LYNN KETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 EUCLID AVE STE 409, NATIONAL CITY, CA 91950-2981
(619) 267-8313
Mailing address
655 EUCLID AVE STE 409, NATIONAL CITY, CA 91950-2981
(619) 267-8313
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A168350
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A168350
CA LICENSE
CA
Enumeration date
03/29/2016
Last updated
05/21/2022
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