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

Evan Robert Ketcham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407559909

Evan Robert Ketcham is a Psychiatry in Lebanon, New Hampshire. Qualified in 2023, 3 years ago. Practices with Monadnock Family Services, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lebanon, NH

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407559909
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Monadnock Family Services — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lebanon