-- KELLY KETCHAM M.Ed, A.T.C. ⚕️ California 1144618158

NPI	1144618158
Entity Type	Individual
Gender	Female
Sole Proprietor ?	Yes
Primary Taxonomy	2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date	2014-12-27
Last Update Date	2014-12-27

-- KELLY KETCHAM M.Ed, A.T.C.

5900 ELVAS AVE

SACRAMENTO, CA 95819-4341

Phone number: 530-409-4424

-- KELLY KETCHAM M.Ed, A.T.C.

PO BOX 356

SHINGLE SPRINGS, CA 95682-0356

Phone number: 530-409-4424