Penny Ketchum
Penny Ketchum is a Student in an Organized Health Care Education/Training Program in San Luis Obispo, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Partly verified
Colony DrSan Luis Obispo, CA 93409-0001
Phone: (805) 547-7900
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1861112484 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 1, 2022 |
| Last updated in NPPES | September 1, 2022 |
| Certification date | September 1, 2022 |
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