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

Kyle Ketterer, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1881513323

Kyle Ketterer, AGACNP-BC is an Acute Care Nurse Practitioner in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

2100 Madison Ave
Granite City, IL 62040-4701
Phone: (618) 798-3260
Fax: (618) 798-3716
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 041403323 (IL)

Record details

NPI number1881513323
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJuly 10, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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