KETNER ORTHOPEDICS PLLC NPI 1790670958

NPI Information

  • NPI: 1790670958
  • Provider Name: KETNER ORTHOPEDICS PLLC
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Organization
  • Address: 4000 HIGHLAND RD STE 101
    WATERFORD, MI
    ZIP 48328
  • Phone: (248) 270-5622

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NPI Details

KETNER ORTHOPEDICS PLLC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Waterford, MI. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. KETNER ORTHOPEDICS PLLC NPI is 1790670958. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4000 HIGHLAND RD STE 101
WATERFORD, MI
ZIP 48328-163
Phone: (248) 270-5622
Fax: (248) 856-2474

The provider's authorized official is Andrew John Ketner .
The authorized official title is Owner and has the following contact phone number (248) 270-5622.

The enumeration date for this NPI number is 6/10/2025 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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