Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Anderson Ketcham, DO

Individual provider Family Medicine Physician · NPI 1023712874

Carl Anderson Ketcham, DO is a Family Medicine Physician in Las Vegas, Nevada. Works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1524 Pinto Ln Fl 2
Las Vegas, NV 89106-4195
Phone: (702) 992-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 118 E Haskell St, Winnemucca, NV 89445-3299 — (775) 623-5222

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence DO4137 (NV)

Record details

NPI number1023712874
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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