KETNER ORTHOPEDICS PLLC – NPI #1790670958
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

KETNER ORTHOPEDICS PLLC is an orthopaedic surgeon located in WATERFORD TOWNSHIP, MI. NPPES has assigned the NPI number 1790670958 to KETNER ORTHOPEDICS PLLC on June 10, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XS0114X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery

The NPI profile was last updated on Nov 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KETNER ORTHOPEDICS PLLC below.

NPI Profile for
KETNER ORTHOPEDICS PLLC

NPI Number
1790670958
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KETNER ORTHOPEDICS PLLC
Primary location
4000 HIGHLAND RD STE 101
WATERFORD TOWNSHIP, MI 48328-2163
Phone: (248) 270-5622 Fax: (248) 856-2474
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREW KETNER
OWNER
Phone: (248) 270-5622
Updated
Certification Date
Nov 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0114X
- Orthopaedic Surgery / Adult Reconstructive Orthopaedic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.