Individual provider · Type 1 NPI

Diana D. Ketchum, STUDENT

Student in an Organized Health Care Education/Training Program · Peekskill, NY

NPI number 1275413551 Active

Practice location

1101 Main St
Peekskill, NY 10566-2183

Call (914) 737-7338 Map

Mailing address

845 N Broadway
White Plains, NY 10603-2403

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275413551

Diana D. Ketchum, STUDENT's National Provider Identifier is 1275413551, issued on Sep 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peekskill, NY. The record was last updated on Sep 5, 2025.