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Individual

ANTHONY BRETON KETNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
11102 SUNRISE BLVD E STE 103, PUYALLUP, WA 98374-8846
(253) 848-8797
(253) 845-1114
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OP61602436
WA

Other

Enumeration date
03/30/2022
Last updated
01/06/2026
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