Individual provider · Type 1 NPI
Robin Ketchum, NP
Critical Care Medicine Registered Nurse · Orange, CA
NPI number
1306041256
Active
Practice location
101 The City Dr S
Orange, CA 92868-3201
Fax (714) 456-3765
Mailing address
PO Box 512347
Los Angeles, CA 90051-0347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 415825 (CA) |
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 415825 (CA) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1306041256
Robin Ketchum, NP's National Provider Identifier is 1306041256, issued on Jun 20, 2007. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Orange, CA. The record was last updated on Jan 22, 2015.