Masin Kettner

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1105280 Issued in WI

Practice address

3201 Eaton Rd
Green Bay, WI 54311-6830

Phone

(920) 433-6699

NPI assigned

Oct 30, 2025

Sex

Female

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

State licenses

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1376412205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7337 WEGE RD",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549449723",
            "telephone_number": "920-538-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 EATON RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116830",
            "telephone_number": "920-433-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTNER",
        "first_name": "MASIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "1105280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Ann Kerker, LPC
• Aliece Ann Kerscher
• Kyle Kershek, LPC
• Cynthia Vida Ketter, PHYSICAL THERAPIST
• Rebecca L Ketterhagen, PA
• Keystone Psychology LLC
• Sany T Khabbaz, MD
• Hadi Mohammad Khan, M.D.
• Muhammad Irshad Khan, MD
• Mujtaba Khan

• Registered Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.