Kyle Ketterer, AGACNP-BC

NPI 1881513323 · on the registry since 2026

Practice

Address: 2100 Madison Ave
Granite City, IL 62040
Phone: (618) 798-3260
Fax: (618) 798-3716
Organisation at this address: Ahp Of Illinois, Inc
Granite City Clinic Corp
Ahs Il Medical Group Llc
Great River Radiology, Inc
Dcl Medical Laboratories Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 54

Registry record

Primary taxonomy: 363LA2100X
363LA2100X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-05

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 Illinois