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

Jason Brook Ketner, CCC

Individual provider Speech-Language Pathologist · NPI 1457749046

Jason Brook Ketner, CCC is a Speech-Language Pathologist in Palm Harbor, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

36430 US Highway 19 N
Palm Harbor, FL 34684-1330
Phone: (727) 330-0420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA19932 (FL)

Record details

NPI number1457749046
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC
Sole proprietorYes
NPI enumeratedJanuary 5, 2015
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address241 New Campfire Rd, Carbondale, IL 62903-8342

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