ANTHONY B. KETNER DO – NPI #1922748656
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

ANTHONY KETNER is a physician located in PUYALLUP, WA. NPPES has assigned the NPI number 1922748656 to ANTHONY KETNER on March 30, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Jan 06, 2026. 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 ANTHONY KETNER below.

NPI Profile for
ANTHONY B. KETNER

NPI Number
1922748656
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANTHONY B. KETNER
Credentials
DO
Primary location
11102 SUNRISE BLVD E STE 103
PUYALLUP, WA 98374-8846
Phone: (253) 848-8797 Fax: (253) 845-1114
1 Other location(s):
1 Medical Center Blvd
Winston Salem, NC 27157-3006
Phone: (336) 716-2011
Mailing address
PO BOX 5299
MS: 820-5-PCO
TACOMA, WA 98415-0299
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 06, 2026

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
208000000X
- Pediatrics (Primary)		 WA OP61602436

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.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 2022
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.