Tyson J Ketelsen, PHARMD.

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

IA19828 Issued in IA

Practice address

601 Highway 6 W
Iowa City, IA 52246-2209

Phone

(319) 338-0581

Fax

(319) 688-3561

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1295863546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462209",
            "telephone_number": "319-338-0581",
            "fax_number": "319-688-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462209",
            "telephone_number": "319-338-0581",
            "fax_number": "319-688-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETELSEN",
        "first_name": "TYSON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IA",
            "license": "IA19828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Christine Ryherd Kerr, D.D.S.
• Kerri J Husman MD PC
• Gary Russell Kersbergen, MD
• Lisabeth L Kestel, P.T.
• Natalie Ketchen, RDN/LD
• Elias Keyrouz
• Maher Khadra, MD
• Mahmoud Tawfik Abdelrahman Khalafallah, MD, PHD
• Arshan Ali Khan, M.D
• Rabia Siddiqi Khan, MD

• Ambulatory Care Pharmacist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Ambulatory Care Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.