Anthony Breton Ketner, DO

Pediatrics Physician · Puyallup, WA

Individual Active NPI

NPI number 1922748656

Practice location

11102 Sunrise Blvd E Ste 103
Puyallup, WA 98374-8846
Phone
(253) 848-8797
Fax
(253) 845-1114

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NPI record

NPI
1922748656
Entity type
Individual (Type 1)
Enumeration date
March 30, 2022
Last updated
January 6, 2026
Certified
January 6, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X OP61602436 WA

Mailing address

PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299

Other practice locations (1)

  • 1 Medical Center Blvd, Winston Salem, NC 27157-3006 · (336) 716-2011

About Dr. Ketner

Anthony Breton Ketner, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374-8846. The NPI number 1922748656 was assigned on March 30, 2022 and the record was last updated on January 6, 2026.

Dr. Ketner lists a license in the registry: #OP61602436 (WA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anthony Breton Ketner, DO?

The NPI number is 1922748656.

What is the phone number of Dr. Ketner?

The phone number listed for the practice location is (253) 848-8797.

Where is Dr. Ketner located?

11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374-8846.

What is the taxonomy code for Dr. Ketner?

The primary taxonomy code is 208000000X – Pediatrics Physician.

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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