Ketcham Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006808L Issued in PA

Legal business name

KETCHAM CHIROPRACTIC PLLC

Practice address

765 Park Ave
Meadville, PA 16335-2546

Phone

(814) 337-0128

Fax

(814) 337-0164

NPI assigned

Aug 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jon Mark Ketcham, D.C.

Title

President

Phone

(814) 337-0128

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1760730261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352546",
            "telephone_number": "814-337-0128",
            "fax_number": "814-337-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352546",
            "telephone_number": "814-337-0128",
            "fax_number": "814-337-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETCHAM CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "KETCHAM",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-337-0128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006808L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellerman'S Counseling, LLC
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• Rhiannon J Kenniston
• Beverly Lou Kerr, LPC
• Carrie Nicole Kerr, PHARMD
• Jon Mark Ketcham, D.C.
• Cassandra Lynn Ketler, PA-C
• Taylor Keverline, CRNP
• Keystone Rehabilitation Systems Inc.
• Talal Haider Khan, M.D.

• Chiropractor in Meadville, PA
• Providers in Meadville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.