NPI 1093422388

Kristopher Casey Ketchum, CERTIFIEDPEDORTHIST

Practitioner Pedorthist Paw Paw, MI

Practice location

Address: 31863 29th St, Paw Paw, MI 49079-8422
Phone: (269) 873-3541

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 3509 (MI)

Other Pedorthist providers in Michigan →

Registry record

NPI: 1093422388
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2022
Record last updated: 4 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.