Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH E. ETTERMAN, M.D.
ActiveDR. KENNETH E. ETTERMAN, M.D. is a Family Medicine healthcare provider located in HINCKLEY, Minnesota. NPI 1164425781 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HINCKLEY, MN
Registration Details
- NPI Number
- 1164425781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2005 (21.213948231723 yrs)
- Last Updated
- Dec 4, 2012
- License
-
23035 (MN)
Practice Information
- Address
-
206 MAIN ST. E.HINCKLEY, MN, 55037Browse MN providers · Browse ZIP 55037
- Phone
- 3203846618
- Fax
- 3203846635
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.