Wetjen, Kenneth Gene

Wetjen, Kenneth Gene is an individual health care provider with primary practice located at 601 Highway 6 W , Iowa City IA 52246-2292. He recently has only one registered license in Nursing Service Related Providers / Religious Nonmedical Nursing Personnel, which is considered as his primary health care specialty. Wetjen, Kenneth Gene can be contacted via phone (319) 338-0581.

Contact Information

Primary practice address
601 Highway 6 W Iowa City IA 52246-2292
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Nursing Personnel 374T00000X R 094024-1 Minnesota

Profile Details

NPI number 1194769737
LBN Legal business name Wetjen, Kenneth Gene
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194769737 NPPES
Other R 094024-1 NURSING LISCENSE

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