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

William D Ketcham, MD

Individual provider Diagnostic Radiology Physician · NPI 1184668857

William D Ketcham, MD is a Diagnostic Radiology in Cheyenne, Wyoming. Graduated from University of Nevada School of Medicine in 1996, 30 years ago. Practices with Cwip LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Colorado and Wyoming.

Years since qualifying
30
Trained at
University of Nevada School of Medicine
Licensed in
CO, WY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 E 20th St Ste 110
Cheyenne, WY 82001-3859
Phone: (307) 634-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 6803A (WY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 40972 (CO)

Record details

NPI number1184668857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 9, 2007
Mailing address800 E 20th St, Suite 110, Cheyenne, WY 82001-3859

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Cwip Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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