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

Kevin Lynn Ketcherside, CSFA

Individual provider Surgical Assistant · NPI 1285901652

Kevin Lynn Ketcherside, CSFA is a Surgical Assistant in Gilbert, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011

Practice location Address checks out

3697 S Martingale Rd
Gilbert, AZ 85297-7436
Phone: (480) 285-4990
Fax: (480) 659-4643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 130245 (AZ)

Record details

NPI number1285901652
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedNovember 29, 2011
Last updated in NPPESDecember 4, 2012

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