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Contact Information

MONTE KETCHUM, D.O
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL35205
 Phone: 205-939-3699
 Fax: 205-484-2585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MONTE KETCHUM · (Male)

NPI Number 1497133458
Status Active
Credentials D.O
Entity Individual
Enumeration date 05/11/2015
Last updated 05/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # DO.1819
Hospital affiliation(s)
  • CULLMAN REGIONAL MEDICAL CENTER - (Acute Care)
    1912 ALABAMA HIGHWAY 157
    CULLMAN, AL 35058
  • ST VINCENT'S BIRMINGHAM - (Acute Care)
    810 ST VINCENT'S DRIVE
    BIRMINGHAM, AL 35205
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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