Individual provider · Type 1 NPI

Kristopher Casey Ketchum, CERTIFIED PEDORTHIST

Pedorthist · Paw Paw, MI

NPI number 1093422388 Active

Practice location

31863 29th St
Paw Paw, MI 49079-8422

Call (269) 873-3541 Map

Specialties and licenses

TaxonomyCodeLicense
Pedorthist Primary 224L00000X3509 (MI)

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

About NPI 1093422388

Kristopher Casey Ketchum, CERTIFIED PEDORTHIST's National Provider Identifier is 1093422388, issued on Nov 4, 2022. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Paw Paw, MI. The record was last updated on Nov 4, 2022.