Mr. Kristopher Casey Ketchum, CERTIFIEDPEDORTHIST
Mr. Kristopher Casey Ketchum, CERTIFIEDPEDORTHIST is a Pedorthist in Paw Paw, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
31863 29th StPaw Paw, MI 49079-8422
Phone: (269) 873-3541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pedorthist (primary) | Taxonomy 224L00000X · Licence 3509 (MI) |
|---|
Record details
| NPI number | 1093422388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CERTIFIEDPEDORTHIST |
| Sole proprietor | Yes |
| NPI enumerated | November 4, 2022 |
| Last updated in NPPES | November 4, 2022 |
| Certification date | November 4, 2022 |