Individual provider · Type 1 NPI

William Tyler Ketchabaw, MD, PhD

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1669266805 Active

Practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Call (202) 741-1250 Map

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 1669266805

William Tyler Ketchabaw, MD, PhD's National Provider Identifier is 1669266805, issued on Apr 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Apr 4, 2025.