person
Shauna Marie Ketchum, RPA-C
Medical Physician Assistant in Brockport, New York
NPI 1750617072

Shauna Marie Ketchum is a Medical Physician Assistant based in Brockport, NY and is specialized in Medical. Shauna Marie Ketchum practices in Brockport, NY and has the professional credentials of RPA-C. The NPI Number for Shauna Marie Ketchum is 1750617072 and holds a License No. 013457-1 (New York).

The current practice location address for Shauna Marie Ketchum is 300 West Ave, Brockport, NY and can be reached out via phone at 585-637-3905 and via fax at 585-637-4990.

Location: 300 West Ave, Brockport, NY, 14420-1118
person
Provider Profile Details
NPI Number
1750617072
Provider Name
Shauna Marie Ketchum
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
300 West Ave, Brockport, NY, 14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
Provider Enumeration Date
10/21/2009
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
300 West Ave
City
State
Zip
14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
person
Provider Business Mailing Address Details
Address
300 West Ave
City
State
Zip
14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
013457-1 (New York)
Definition
Definition to come...
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