Individual provider · Type 1 NPI

Penny Ketchum

Student in an Organized Health Care Education/Training Program · San Luis Obispo, CA

NPI number 1861112484 Active

Practice location

Colony Dr
San Luis Obispo, CA 93409-0001

Call (805) 547-7900 Map

Mailing address

720 Orchard Dr
Paso Robles, CA 93446-2300

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 1861112484

Penny Ketchum's National Provider Identifier is 1861112484, issued on Sep 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 1, 2022.