Individual provider · Type 1 NPI
Mark Ketchum, R.N.
Home Health Registered Nurse · Northglenn, CO
NPI number
1043456007
Active
Practice location
3061 E 109th Ave
Northglenn, CO 80233-5475
Fax (303) 953-1217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 176755 (CO) |
Home Health Registered Nurse: Definition to come...
About NPI 1043456007
Mark Ketchum, R.N.'s National Provider Identifier is 1043456007, issued on Dec 22, 2008. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Northglenn, CO. The record was last updated on Dec 22, 2008.