Search › Washington › 2080P0207X
Tyler Ketterl, M.D
NPI 1205128543 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4800 Sand Point Way Ne, Ms: Mb.8.501
Seattle, WA 98105 - Phone
- (206) 987-2106
- Fax
- (206) 987-3946
Registry record
- Primary taxonomy
- 2080P0207X
2080P0207X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington