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PENNY KETCHUM
NPI 1861112484
Student in an Organized Health Care Education/Training Program in San Luis Obispo, CA

Active since September 01, 2022
COLONY DR, SAN LUIS OBISPO, CA 93409(805) 547-7900 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penny Ketchum NPPES

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

PENNY KETCHUM (NPI 1861112484) is an individual student in an organized health care education/training program in San Luis Obispo, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1861112484
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePENNY KETCHUM
Location AddressCOLONY DRSan Luis Obispo, CA 93409-0001
Mailing Address720 Orchard DrPaso Robles, CA 93446-2300 · (805) 975-6828
Phone(805) 547-7900
Sole ProprietorNo
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1861112484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
COLONY DR, San Luis Obispo, CA 93409
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Other Providers at the Same Location NPPES 16

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

MR. DANIEL MARK AGIR WRIGHT JR.
Student in an Organized Health Care Education/Training Program
COLONY DR
SAN LUIS OBISPO, CA 93409
San Luis Obispo County (805) 547-7900
ZIANYA LUZ DE LA MORA MENDOZA MA, LPC
Student in an Organized Health Care Education/Training Program
COLONY DR
SAN LUIS OBISPO, CA 93409
San Luis Obispo County (805) 235-3063
SYDNEY SHEAR MS
Student in an Organized Health Care Education/Training Program
COLONY DR
SAN LUIS OBISPO, CA 93409
San Luis Obispo County (805) 547-7806
MRS. MADALYN QUINN MCDONALD MA
Student in an Organized Health Care Education/Training Program
COLONY DR
SAN LUIS OBISPO, CA 93409
San Luis Obispo County (805) 547-7900
CORY LINDER PSY.D.
Psychologist
COLONY DR
SAN LUIS OBISPO, CA 93409
San Luis Obispo County (805) 547-7900
CHRISTOPHER ROY COSTA MA, LMHCA
Student in an Organized Health Care Education/Training Program
COLONY DR
SAN LUIS OBISPO, CA 93409
San Luis Obispo County (805) 547-7900
YOUSTINA MINA
Student in an Organized Health Care Education/Training Program
COLONY DR
SAN LUIS OBISPO, CA 93409
San Luis Obispo County (310) 970-4167
YUCHUAN CHEN
Psychologist (Clinical)
COLONY DR
SAN LUIS OBISPO, CA 93409
San Luis Obispo County (805) 457-7900

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 Penny Ketchum's NPI number?

The NPI number for Penny Ketchum is 1861112484. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Penny Ketchum located?

Penny Ketchum practices at Colony Dr, San Luis Obispo, CA 93409. The listed phone number is (805) 547-7900.

What is Penny 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 Penny Ketchum was last updated on September 1, 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.