Jason Brook Ketner, CCC

Speech-Language Pathologist · Palm Harbor, FL

Individual Active NPI

NPI number 1457749046

Practice location

36430 Us Highway 19 N
Palm Harbor, FL 34684-1330
Phone
(727) 330-0420

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NPI record

NPI
1457749046
Entity type
Individual (Type 1)
Enumeration date
January 5, 2015
Last updated
May 17, 2022
Certified
May 17, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SA19932 FL

Mailing address

241 New Campfire Rd
Carbondale, IL 62903-8342
Phone
(618) 303-1730

About Jason Ketner

Jason Brook Ketner, CCC is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 36430 Us Highway 19 N, Palm Harbor, FL 34684-1330. The NPI number 1457749046 was assigned on January 5, 2015 and the record was last updated on May 17, 2022.

Jason Ketner lists a license in the registry: #SA19932 (FL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Brook Ketner, CCC?

The NPI number is 1457749046.

What is the phone number of Jason Ketner?

The phone number listed for the practice location is (727) 330-0420.

Where is Jason Ketner located?

36430 Us Highway 19 N, Palm Harbor, FL 34684-1330.

What is the taxonomy code for Jason Ketner?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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