| Kevin L Ketchum, MD | |
|
481 E Division St, Fond Du Lac, WI 54935-3748 | |
| (920) 921-5676 | |
| (920) 921-2684 |
| Full Name | Kevin L Ketchum |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 481 E Division St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396717831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 38030 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin L Ketchum, MD 481 E Division St, Fond Du Lac, WI 54935-3748 Ph: (920) 921-5676 | Kevin L Ketchum, MD 481 E Division St, Fond Du Lac, WI 54935-3748 Ph: (920) 921-5676 |
Gregory B Kapala, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Hong Chu Wang, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 480 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4101 Fax: 920-926-4190 | |
Dr. Filip T Troicki, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 480 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4100 | |
Richard E Simpson Iii, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Abel R Castellano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Edward J Chesna, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 |