Individual provider · Type 1 NPI

Masin Kettner

Registered Nurse · Green Bay, WI

NPI number 1376412205 Active

Practice location

3201 Eaton Rd
Green Bay, WI 54311-6830

Call (920) 433-6699 Map

Mailing address

W7337 Wege Rd
Hortonville, WI 54944-9723

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	1105280 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1376412205

Masin Kettner's National Provider Identifier is 1376412205, issued on Oct 30, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Green Bay, WI. The record was last updated on Oct 30, 2025.