IndividualActive
Tyson Ketelsen, PHARMD.
NPI 1295863546 · Ambulatory Care Pharmacist · Iowa City, IA
Provider details
- NPI number
- 1295863546
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD.
- Sex
- Male
- Sole proprietor
- No
- License
- IA19828 (IA)
Practice location
601 Highway 6 W
Iowa City, IA 52246-2209
Phone: (319) 338-0581
Fax: (319) 688-3561
Mailing address
601 Highway 6 W
Iowa City, IA 52246-2209
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.