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Active NPI 1922748656 Individual Practitioner Male Practitioner

Dr. Anthony Breton Ketner , DO

Pediatrics • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Ketner, DO is a certified Pediatrics practicing in Puyallup, WA. With approximately 4 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2022, Dr. Ketner delivers high-quality medical care to the local community at 11102 SUNRISE BLVD E STE 103.

Dr. Ketner does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11102 Sunrise Blvd E Ste 103

Puyallup, WA 983748846

Telephone 2538488797
Fax 2538451114
Associated Practice Facility / Clinic
🏢 Woodcreek Pediatrics, Pllc Facility NPI 1699802728

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Puyallup, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -13.7 yrs vs City Avg
City Avg: 17.7 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
24 Specialists

Practicing in Puyallup, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ketner (4 Years) 4 Yrs
Puyallup Specialty Average (17.7 Years) 17.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA OP61602436

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.

Secondary Practice Locations

1 Medical Center Blvd

Winston Salem, NC 271573006

Phone: 3367162011

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Scott Nelson

Physician Assistant - Medical

NPI 1003218611
Sara Husarik , ARNP

Nurse Practitioner - Pediatrics

NPI 1003894965

Advanced Registered Nurse Practitioner

NPI 1013995976

Doctor of Medicine (M.D.)

Marsha Starr , ARNP

Registered Nurse

NPI 1013995984

Advanced Registered Nurse Practitioner

Dr. Paul Billing , MD

Emergency Medicine

NPI 1053398073

Doctor of Medicine (M.D.)

NPI 1053872549

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 06, 2026

Registered at 11102 SUNRISE BLVD E STE 103, PUYALLUP, WA 983748846 (Tel: 2538488797)

📍
Updated Business Mailing Address January 06, 2026

Registered at PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 984150299

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2026

Pediatrics (License #OP61602436 in WA)

NPI Profile Active April 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2022

Registered at 1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 271573006 (Tel: 3367162011)

📍
Updated Business Mailing Address April 02, 2022

Registered at ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 271570001

👤
Provider Name / Credentials Updated April 02, 2022

Recorded as ANTHONY KETNER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 30, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922748656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2022
Last Update: January 06, 2026
Sole Proprietor: No

Mailing Address

Po Box 5299, Ms: 820-5-Pco

Tacoma, WA 984150299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.