KEVIN KETSAN NP NPI 1407248214

NPI Information

  • NPI: 1407248214
  • Provider Name: KEVIN KETSAN, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 2414 S. FAIRVIEW ST.
    SUITE 212
    SANTA ANA, CA
    ZIP 92704
  • Phone: (877) 830-7328

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NPI Details

Kevin Ketsan, NP is an adult health nurse practitioner in Santa Ana, CA. Kevin Ketsan, NP NPI is 1407248214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2414 S. FAIRVIEW ST.
SUITE 212
SANTA ANA, CA
ZIP 92704
Phone: (877) 830-7328
Fax: (877) 830-7469

The enumeration date for this NPI number is 3/3/2015 and was last updated on 3/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health95000775CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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