Individual
CLAIRE E KETCHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-7785
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(984) 974-4462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD477849
PA
208M00000X
Hospitalist Physician
Primary
036174303
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
12/22/2025
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