Anthony Ketner, DO
NPI 1922748656 · Pediatrics Physician · Puyallup, WA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony Ketner, DO is a Pediatrics Physician provider in Puyallup, WA (NPI 1922748656).
Provider details
- NPI number
- 1922748656
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OP61602436 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1 Medical Center BlvdWinston Salem, NC 27157-3006Phone: (336) 716-2011
Registry dates
- Enumerated
- 2022-03-30
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Frequently asked questions
- What is Anthony Ketner's NPI number?
- Anthony Ketner's National Provider Identifier (NPI) is 1922748656, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Ketner's specialty?
- Anthony Ketner is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Anthony Ketner located?
- Anthony Ketner's practice location on file with NPPES is 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374-8846.
- What is Anthony Ketner's phone number?
- The practice phone number listed in the NPPES registry for Anthony Ketner is (253) 848-8797.
- Does Anthony Ketner accept Medicare?
- Anthony Ketner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anthony Ketner's NPI active?
- Yes — Anthony Ketner's NPI (1922748656) is active in the NPPES registry as of the last update on 2026-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.