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

Kathleen Anne Ketchum, PA

Individual provider Physician Assistant · NPI 1487996849

Kathleen Anne Ketchum, PA is a Physician Assistant in Columbia, Missouri. Qualified in 2012, 14 years ago. Practices with Columbia Orthopaedic Group LLP, a 94-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 S Keene St
Columbia, MO 65201-7199
Phone: (573) 443-2402
Fax: (573) 443-0574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2013005293 (MO)

Record details

NPI number1487996849
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 25, 2013
Last updated in NPPESMay 9, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Columbia Orthopaedic Group Llp — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia