Individual
SARAH L KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
265 WESTERN AVE, SOUTH PORTLAND, ME 04106-2458
(207) 661-0200
Mailing address
94 GRAY ST, PORTLAND, ME 04102-3847
(207) 879-3030
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
017416
ME
207RH0003X
Hematology & Oncology Physician
Primary
25618
NH
Other
Enumeration date
08/25/2006
Last updated
04/25/2024
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