Individual
JONATHAN F. KETCHUM
Active
Individual
JONATHAN F. KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
2087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019046
NEIGHBORHOOD HEALTH
MA
01
—
002087
TUFTS HEALTH PLAN
MA
05
—
0316644
—
MA
01
—
2700355
UNITED HEALTHCARE
MA
01
—
333402
HARVARD PILGRIM HEALTH
MA
01
—
Y71045
BLUE SHIELD OF MA
MA
Enumeration date
10/06/2006
Last updated
03/25/2008
Update your record
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