Kevin Ketchum, M.D.
NPI 1396717831 · Diagnostic Radiology Physician · Fond Du Lac, WI
Kevin Ketchum, M.D. is a Diagnostic Radiology Physician provider in Fond Du Lac, WI (NPI 1396717831).
Provider details
- NPI number
- 1396717831
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 38030 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2009-01-05
Frequently asked questions
- What is Kevin Ketchum's NPI number?
- Kevin Ketchum's National Provider Identifier (NPI) is 1396717831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Ketchum's specialty?
- Kevin Ketchum is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Ketchum located?
- Kevin Ketchum's practice location on file with NPPES is 481 E Division St, Fond Du Lac, WI 54935-3748.
- What is Kevin Ketchum's phone number?
- The practice phone number listed in the NPPES registry for Kevin Ketchum is (920) 921-5676.
- Is Kevin Ketchum's NPI active?
- Yes — Kevin Ketchum's NPI (1396717831) is active in the NPPES registry as of the last update on 2009-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.