Individual
COURTNEY LYNN KETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
—
45005
LICENSE
OK
01
—
A168350
CA LICENSE
CA
Enumeration date
03/29/2016
Last updated
08/07/2026
Update your record
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