Matthew Kettman MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MATTHEW KETTMAN MD PC

Practice address

110 Plaza Cir Ste a
Waterloo, IA 50701-5139

Phone

(830) 320-3852

NPI assigned

Aug 7, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Adame

Title

Billing Admin

Phone

(830) 320-3852

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1184548588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PLAZA CIR STE A",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PLAZA CIR STE A",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015139",
            "telephone_number": "830-320-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW KETTMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "ADAME",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "830-320-3852"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Murphy Marthers, MD
• Angel Martin
• Brittany Elizabeth Martin, BS
• Benjamin L Mason, M.D..
• Matthew J Smith
• Matthew Smith MD PC
• Phillip Lee Mattox
• Kimberly A. Maxfield, RN
• Ajak Mayen, MD
• Sussan Mbi Ndakor, M.D

• Family Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.