MISS KATHERINE CLARK KETCHUM M.D.
NPI 1386337483
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since June 02, 2023
1400 PELHAM PKWY SOUTH, BRONX, NY 10461(718) 918-4084 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Katherine Clark Ketchum M.d. NPPES

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

MISS KATHERINE CLARK KETCHUM M.D. (NPI 1386337483) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1386337483
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS KATHERINE CLARK KETCHUMCredential: M.D.
Location Address1400 PELHAM PKWY SOUTHBronx, NY 10461
Mailing Address1400 Pelham Parkway South, Jacobi Medical Center, Building 4 Room 6s11Bronx, NY 10461 · (718) 918-5000
Sole ProprietorNo
Enumeration DateJune 2, 2023
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedJune 2, 2023
NPI 1386337483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 PELHAM PKWY SOUTH, Bronx, NY 10461

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Oncology)
1400 PELHAM PKWY SOUTH
BRONX, NY 10461
Registered Nurse
1400 PELHAM PKWY SOUTH
BRONX, NY 10461

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 Katherine Ketchum's NPI number?

The NPI number for Katherine Ketchum is 1386337483. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Katherine Ketchum located?

Katherine Ketchum practices at 1400 Pelham Pkwy South, Bronx, NY 10461. The listed phone number is (718) 918-4084.

What is Katherine Ketchum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katherine Ketchum was last updated on November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.