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KEVIN L KETCHUM M.D.
NPI 1396717831
Radiology - Diagnostic Radiology in Fond Du Lac, WI

Active since February 07, 2006
481 E DIVISION ST, FOND DU LAC, WI 54935(920) 921-5676(920) 921-2684 Get Directions Write a Review

NPPES record last updated: January 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin L Ketchum M.d. NPPES

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

KEVIN L KETCHUM M.D. (NPI 1396717831) is an individual diagnostic radiology provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (38030) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1396717831
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKEVIN L KETCHUMCredential: M.D.
Location Address481 E DIVISION STFond Du Lac, WI 54935-3748
Mailing Address481 E Division StFond Du Lac, WI 54935-3748 · (920) 921-5676 · Fax (920) 921-2684
Phone(920) 921-5676
Fax(920) 921-2684
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJanuary 5, 2009
✔ NPI 1396717831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 38030
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

481 E DIVISION ST, Fond Du Lac, WI 54935
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING89629

Other Providers at the Same Location NPPES 17

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

GREGORY B KAPALA M.D.
Radiology (Diagnostic Radiology)
481 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 921-5676
TERRY FOX BCHIS
Hearing Instrument Specialist
481 E DIVISION ST, STE 900
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-1288
RADIOLOGY FOND DU LAC LTD
Radiology (Diagnostic Radiology)
481 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 921-5676
ANDREW R. KARAU H.I.S
Hearing Instrument Specialist
481 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-1288
MARCIE ANN JANZ APNP
Family Medicine (Geriatric Medicine)
481 E DIVISION ST, SUITE 100
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-8120
GAY D TREPANIER MD
Family Medicine (Geriatric Medicine)
481 E DIVISION ST, SUITE 100
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-8120
MS. ANN MARIE PICKART HEARING INST SPECIAL
Hearing Instrument Specialist
481 E DIVISION ST, STE 900
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-1288
RICHARD E SIMPSON III M.D.
Radiology (Diagnostic Radiology)
481 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 921-5676

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 Kevin Ketchum's NPI number?

The NPI number for Kevin Ketchum is 1396717831. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Kevin Ketchum located?

Kevin Ketchum practices at 481 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 921-5676.

What is Kevin Ketchum's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kevin Ketchum was last updated on January 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.