DAWN T KETTNER PA
NPI 1184641086
Physician Assistant in Tampa, FL

Q: What is Dawn Kettner's NPI number?

The NPI number for Dawn Kettner is 1184641086. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Dawn Kettner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Dawn Kettner was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 16, 2006

12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-1561(813) 979-3966 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dawn T Kettner Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAWN T KETTNER PA (NPI 1184641086) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9101456) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184641086

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDAWN T KETTNERCredential: PA

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing AddressPo Box 917770Orlando, FL 32891-7770

Phone(813) 745-1561

Fax(813) 979-3966

Sole ProprietorNo

Enumeration DateJuly 16, 2006

Last NPPES UpdateFebruary 26, 2008

✔ NPI 1184641086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9101456

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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Other Identifiers 3

Medicare UPINP92810FL

Medicare PINU0930ZFL

Medicare PINP00042715FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL MARTIN WACH MD

Surgery