| Doctor Name: | MS. MEG KETCHUM |
| NPI Number: | 1215955273 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 13842 |
| Business Practice Address: | 350 Posada Lane Suite 202 Templeton, CA - 934654060 |
| Business Phone Number: | 8054345497 |
| Business Fax Number: | 8054340917 |
| Mailing Address: | 117 West Bunny Ave, SANTA MARIA |
| State: | CA |
| Postal Code: | 934582805 |
| Phone Number: | 8054345497 |
| Fax Number: | 8054340917 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 12/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 13842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |