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

Individual provider Family Medicine Physician · NPI 1548630700

Jeffrey Ketcham, MD is a Family Medicine Physician in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12753 Mission Meadow Dr
Colorado Springs, CO 80921-7659
Phone: (831) 333-6159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD15412 (SC)

Record details

NPI number1548630700
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 30, 2015
Last updated in NPPESSeptember 30, 2015

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