Organization
KETCHAM CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON MARK KETCHAM D.C. (PRESIDENT)
(814) 337-0128
Entity
Organization
Contact information
Practice address
765 PARK AVE, MEADVILLE, PA 16335-2546
(814) 337-0128
(814) 337-0164
Mailing address
765 PARK AVE, MEADVILLE, PA 16335-2546
(814) 337-0128
(814) 337-0164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006808L
PA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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