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

Tina Renee Ketter

Individual provider Licensed Vocational Nurse · NPI 1215549563

Tina Renee Ketter is a Licensed Vocational Nurse in Desoto, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

1019 Bluffview Dr
Desoto, TX 75115-3525
Phone: (214) 779-3463
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 338389 (TX)

Record details

NPI number1215549563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

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