Shauna Marie Ketchum, RPA-C
Shauna Marie Ketchum, RPA-C is a Physician Assistant in Brockport, New York. Qualified in 2009, 17 years ago. Practices with University of Rochester, a 962-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 17
- Licensed in
- NY
- In the registry since
- 2009
Practice location Address checks out
300 W AveBrockport, NY 14420-1118
Phone: (585) 637-3905
Fax: (585) 637-4990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 013457-1 (NY) |
|---|
Record details
| NPI number | 1750617072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RPA-C |
| Sole proprietor | No |
| NPI enumerated | October 21, 2009 |
| Last updated in NPPES | June 14, 2024 |
| Certification date | June 14, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | University Of Rochester — 962 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Brockport
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Kelly Jean Halvonik, RPAC
Interlakes Oncology & Hematology Pc 156 West Ave, Brockport, NY 14420 · (585) 395-0124
-
Mrs. Molly Jean Horner, PA
156 W Ave Fl 2, Brockport, NY 14420-1229 · (585) 758-7557
-
Theofanis Kalathas, MD
156 W Ave Fl 2, Brockport, NY 14420-1229 · (585) 758-7557
-
Josiah James Surbatovich, PHYSICIANASSISTANT
170 W Ave, Brockport, NY 14420-1227 · (585) 395-6052