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Contact Information

WILLIAM S KETCHAM, MD
501 HEALTH PARK DR
STE 150
GARNER, NC27529-7051
 Phone: 919-772-3487
 Fax: 919-772-3446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for WILLIAM S KETCHAM · (Male)

NPI Number 1093866006
Status Active
Credentials MD
Entity Individual
Enumeration date 01/16/2007
Last updated 10/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 29605
  • NC Other 4510902 AETNA
  • NC Other 0273L BCBS GROUP NUMBER
  • NC Other 48795 BCBS IND
  • NC Other 3330875-004 CIGNA
  • NC Other 290649 MAMSI
  • NC Other 95508 MEDCOST
  • NC Other 30499 PARTNERS
  • NC Other 070014474 RR MEDICARE
  • NC Other 562147357 UHC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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