KEVIN KETSAN NP
NPI 1407248214
Nurse Practitioner - Adult Health in Santa Ana, CA

Q: What is Kevin Ketsan's NPI number?

The NPI number for Kevin Ketsan is 1407248214. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Q: What is Kevin Ketsan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Ketsan was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 March 03, 2015

2414 S. FAIRVIEW ST., SUITE 212, SANTA ANA, CA 92704(877) 830-7328(877) 830-7469 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kevin Ketsan Np NPPES

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

KEVIN KETSAN NP (NPI 1407248214) is an individual adult health provider in Santa Ana, California, licensed in California (95000775) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1407248214

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameKEVIN KETSANCredential: NP

Location Address2414 S. FAIRVIEW ST., SUITE 212Santa Ana, CA 92704

Mailing Address3025 Mary CmnSanta Ana, CA 92703-3474 · (877) 830-7328 · Fax (877) 830-7469

Phone(877) 830-7328

Fax(877) 830-7469

Sole ProprietorYes

Enumeration DateMarch 3, 2015

✔ NPI 1407248214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 95000775

2414 S. FAIRVIEW ST., Santa Ana, CA 92704

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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 Kevin Ketsan's NPI number?

The NPI number for Kevin Ketsan is 1407248214. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Kevin Ketsan located?

Kevin Ketsan practices at 2414 S. Fairview St. Suite 212, Santa Ana, CA 92704. The listed phone number is (877) 830-7328.

What is Kevin Ketsan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kevin Ketsan was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.