Dr Kenneth E Etterman, MD is a
Family Medicine physician based in Hinckley, Minnesota. Dr Kenneth E Etterman is licensed to practice in Minnesota (license number 23035) and his current practice location is 206 Main St. E., Hinckley, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 384-6618.
NPI number for Dr Kenneth E Etterman is 1164425781 and his current mailing address is 4570 Cty. Hwy. 61, Moose Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164425781.
Physician's Profile
Full Name | Dr Kenneth E Etterman |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 206 Main St. E., Hinckley, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164425781
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 12/04/2012
Medical Identifiers
Medical identifiers for Dr Kenneth E Etterman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164425781 | NPI | - | NPPES |
595790700 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 23035 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth E Etterman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth E Etterman, MD 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Ph: (218) 485-4491 | Dr Kenneth E Etterman, MD 206 Main St. E., Hinckley, MN 55037 Ph: (320) 384-6618 |
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