Janelle C Eligon-ketchum


Address: 1512 S St, Philadelphia, PA 19146-1636

Janelle C Eligon-ketchum (NPI# 1295986255, PAC ID# 0244598431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.

Physician Overview

Nation Provider ID (NPI) 1295986255
PAC ID by PECOS 0244598431
Professional Enrollment ID I20180531001858
Full Name Janelle C Eligon-ketchum
Address 1512 S St
Philadelphia
PA 19146-1636
Gender F
Graduation Year 2002
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1512 S St, Philadelphia, PA 19146-1636

Organization Information

Office Location

Street Address 1512 S ST
City PHILADELPHIA
State PA
Zip 19146-1636

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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