Kenneth Buettner is a Specialist in Salem, Wisconsin. Kenneth Buettner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenneth Buettner is 1215035605. The last update date is 2009-04-22.
Kenneth Buettner's current location address is 28512 69th Pl, Salem, Wisconsin. You can contact this provider via phone number 2629605623. The mailing address for Kenneth Buettner is 28512 69th Pl, Salem, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Buettner |
|---|---|
| Address | 28512 69th Pl, Salem, Wisconsin |
| Phone Number | 2629605623 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215035605 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2009-04-22 |
Provider Mailing Address Detail
| Address | 28512 69th Pl |
|---|---|
| City | Salem |
| State | Wisconsin (WI) |
| Post Code | 531689168 |
| Phone Number | 2629605623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36050528 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36067511 | IL | -- |
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What is the Kenneth Buettner's unique identification number?
The Kenneth Buettner has been assigned the NPI (National Provider Identifier) Number 1215035605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kenneth Buettner's facilities are situated?
The facilities of Kenneth Buettner are physically located at the following address: 28512 69Th Pl, Salem, WI, 531689168.
What is the Kenneth Buettner's specialty and taxonomy code?
The Kenneth Buettner's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Kenneth Buettner receive the assignment of its 1215035605 from the Centers for Medicare & Medicaid Services?
The Kenneth Buettner was issued its 1215035605 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the Kenneth Buettner's information last updated?
The Kenneth Buettner's information was last updated on 2009-04-22.
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