Individual
CHRISTOPHER S KETCHERSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7504 ANTIOCH RD, OVERLAND PARK, KS 66204-2622
(913) 341-3100
Mailing address
7504 ANTIOCH RD, OVERLAND PARK, KS 66204-2622
(913) 341-3100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0433846
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00732950
RAILROAD MEDICARE
—
Enumeration date
05/03/2007
Last updated
09/01/2009
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