MARK KETCHUM R.N.
NPI 1043456007
Registered Nurse - Home Health in Northglenn, CO

Q: What is Mark Ketchum's NPI number?

The NPI number for Mark Ketchum is 1043456007. It was assigned to this individual provider in the NPPES registry on December 22, 2008.

Q: What is Mark Ketchum's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

Q: When was this NPI record last updated?

The NPPES record for Mark Ketchum was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 22, 2008

3061 E 109TH AVE, NORTHGLENN, CO 80233(720) 271-0628(303) 953-1217 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mark Ketchum R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK KETCHUM R.N. (NPI 1043456007) is an individual home health provider in Northglenn, Colorado, licensed in Colorado (176755) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1043456007

Entity TypeIndividualMale

Primary Taxonomy163WH0200X

Provider Legal NameMARK KETCHUMCredential: R.N.

Location Address3061 E 109TH AVENorthglenn, CO 80233-5475

Mailing Address3061 E 109th AveNorthglenn, CO 80233-5475 · (720) 271-0628 · Fax (303) 953-1217

Phone(720) 271-0628

Fax(303) 953-1217

Sole ProprietorYes

Enumeration DateDecember 22, 2008

✔ NPI 1043456007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers

Taxonomy Code163WH0200X

License✔ Licensed in CO · 176755

3061 E 109TH AVE, Northglenn, CO 80233

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Ketchum's NPI number?

The NPI number for Mark Ketchum is 1043456007. It was assigned to this individual provider in the NPPES registry on December 22, 2008.

Where is Mark Ketchum located?

Mark Ketchum practices at 3061 E 109th Ave, Northglenn, CO 80233. The listed phone number is (720) 271-0628.

What is Mark Ketchum's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Mark Ketchum was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.