Mr. William Stewart Ketcham
Dermatologist MOHS-Micrographic Surgeon
501 Health Park Dr Ste 150
Garner
, North Carolina 27529-7051
Mr. William Stewart Ketcham
Dermatologist MOHS-Micrographic Surgeon
501 Health Park Dr Ste 150
Garner
, North Carolina 27529-7051
(919) 772-3446
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Mr. William Stewart Ketcham
- 501 Health Park Dr Ste 150
- Garner, NC
- Zip : 27529-7051
- Fax : (919) 772-3446
- Phone : (919) 772-3487
Second Address
- Mr. William Stewart Ketcham
- 501 Health Park Dr Ste 150
- Garner, NC
- Zip : 27529-7051
- Fax : (919) 772-3446
- Phone : (919) 772-3487
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 29605 | NC |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 29605 | NC |
National Provider Identifier
| NPI | 1093866006 |
|---|---|
| Provider Name | Mr. William Stewart Ketcham |
| First Address | Garner, NC 27529-7051 |
| Second Address | Garner, NC 27529-7051 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 05/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0273L | BCBS GROUP NUMBER (01) | NC |
| 070014474 | RR MEDICARE (01) | NC |
| 290649 | MAMSI (01) | NC |
| 30499 | PARTNERS (01) | NC |
| 3330875-004 | CIGNA (01) | NC |
| 4510902 | AETNA (01) | NC |
| 48795 | BCBS IND (01) | NC |
| 562147357 | UHC (01) | NC |
| 95508 | MEDCOST (01) | NC |
| D92832 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.