NPI 1346664307
Nathan Ketchum
Practice location
- Address
- 580 Casper Rd SE, Rio Rancho, NM 87124-3459
- Phone
- (505) 573-7512
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1346664307
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Feb 2014
- Record last updated
- 11 Feb 2014
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.