Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Breton Ketner, DO

Individual provider Pediatrics Physician · NPI 1922748656

Anthony Breton Ketner, DO is a Pediatric Medicine in Puyallup, Washington. Graduated from Michigan State University College of Osteopathic Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in Washington.

Years since qualifying
4
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
WA
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11102 Sunrise Blvd E Ste 103
Puyallup, WA 98374-8846
Phone: (253) 848-8797
Fax: (253) 845-1114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OP61602436 (WA)

Record details

NPI number1922748656
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing addressPo Box 5299, Ms: 820-5-Pco, Tacoma, WA 98415-0299

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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