Individual provider · Type 1 NPI

Shauna Marie Ketchum, RPA-C

Medical Physician Assistant · Brockport, NY

NPI number 1750617072 Active

Practice location

300 West Ave
Brockport, NY 14420-1118

Fax (585) 637-4990

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X013457-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1750617072

Shauna Marie Ketchum, RPA-C's National Provider Identifier is 1750617072, issued on Oct 21, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brockport, NY. The record was last updated on Jun 14, 2024.