Dr. Clint Ketchel, MD
Dr. Clint Ketchel, MD is a Family Medicine Physician in Lake Elsinore, California. Licensed in California and Michigan. Registered with an NPI since 2012.
- Licensed in
- CA, MI
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
30195 Fraser DrLake Elsinore, CA 92530-7006
Phone: (951) 252-2720
Fax: (760) 414-3892
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A135564 (CA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 4301100963 (MI) |
Record details
| NPI number | 1699038125 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 19, 2012 |
| Last updated in NPPES | February 1, 2019 |
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