person
Carl Anderson Ketcham, DO
Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada
NPI 1023712874

Carl Anderson Ketcham is a Student in an Organized Health Care Education/Training Program based in Henderson, NV. Carl Anderson Ketcham practices in Las Vegas, NV and has the professional credentials of DO. The NPI Number for Carl Anderson Ketcham is 1023712874 and holds a License No. (Nevada).

The current practice location address for Carl Anderson Ketcham is 1524 Pinto Ln Fl 2, Las Vegas, NV and can be reached out via phone at 702-992-6888.

Location: 1524 Pinto Ln Fl 2, Las Vegas, NV, 89014-5517
person
Provider Profile Details
NPI Number
1023712874
Provider Name
Carl Anderson Ketcham
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1524 Pinto Ln Fl 2, Las Vegas, NV, 89014-5517
Phone Number
702-992-6888
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1524 Pinto Ln Fl 2
City
State
Zip
89106-4195
Phone Number
702-992-6888
Fax Number
person
Provider Business Mailing Address Details
Address
1524 Pinto Ln Fl 2
City
State
Zip
89106-4195
Phone Number
702-992-6888
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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