Kathryn Johnson Ketchum

NPI 1740518125 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1740518125
Gender Female
Enumeration Date 11/24/2009
Last Updated 11/24/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
180 GRAND AVE
STE 300
OAKLAND CA, 94612, US
Phone (650) 339-9951
Fax
Business Location
180 GRAND AVE
STE 300
OAKLAND CA, 94612, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number 16984
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According to our database, Kathryn Johnson Ketchum NPI is 1740518125, taxonomy code is 235Z00000X and license number is 16984, license state is located at California. Kathryn Johnson Ketchum physically located at 180 Grand Ave, Oakland CA, 94612. NPI Number Kathryn Johnson Ketchum has the Individual type.

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1740518125 NPI number is provided on an as is basis without warranty of any kind. 1740518125 is maintained by the National Plan & Provider Enumeration System. The contents of Kathryn Johnson Ketchum are for informational purposes only.