| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELIZABETH KETCHUM | 1295236982 | 2023-08-12 |
Elizabeth Ketchum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295236982. Registration indicates Elizabeth Ketchum is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Elizabeth Ketchum |
| Practice Office Address | 8901 WISCONSIN AVE BETHESDA, MD US |
| Practice Office Telephone | 3012954900 |
| Mailing Address | 8901 WISCONSIN AVE BETHESDA, MD 208890004 US |
| Code | Practice | License No State |
|---|---|---|
| 208000000X PRIMARY | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 0101267984
VA |