MR. KRISTOPHER CASEY KETCHUM CERTIFIED PEDORTHIST
NPI 1093422388
Pedorthist in Paw Paw, MI

Q: What is Kristopher Ketchum's NPI number?

The NPI number for Kristopher Ketchum is 1093422388. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Q: What is Kristopher Ketchum's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

Active since November 04, 2022

31863 29TH ST, PAW PAW, MI 49079(269) 873-3541 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Kristopher Casey Ketchum Certified Pedorthist NPPES

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

MR. KRISTOPHER CASEY KETCHUM CERTIFIED PEDORTHIST (NPI 1093422388) is an individual pedorthist provider in Paw Paw, Michigan, licensed in Michigan (3509) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1093422388

Entity TypeIndividualMale

Primary Taxonomy224L00000X

Provider Legal NameMR. KRISTOPHER CASEY KETCHUMCredential: CERTIFIED PEDORTHIST

Location Address31863 29TH STPaw Paw, MI 49079-8422

Mailing Address31863 29th StPaw Paw, MI 49079-8422 · (269) 873-3541

Phone(269) 873-3541

Sole ProprietorYes

Enumeration DateNovember 4, 2022

NPPES CertifiedNovember 4, 2022

✔ NPI 1093422388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224L00000X

License✔ Licensed in MI · 3509

Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

31863 29TH ST, Paw Paw, MI 49079

Open in Google Maps ↗

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 Kristopher Ketchum's NPI number?

The NPI number for Kristopher Ketchum is 1093422388. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Kristopher Ketchum located?

Kristopher Ketchum practices at 31863 29th St, Paw Paw, MI 49079. The listed phone number is (269) 873-3541.

What is Kristopher Ketchum's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Kristopher Ketchum was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.