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DR. KENNETH E. ETTERMAN M.D.
NPI 1164425781
Family Medicine in Hinckley, MN

Active since May 27, 2005
206 MAIN ST. E., HINCKLEY, MN 55037(320) 384-6618(320) 384-6635 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth E. Etterman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH E. ETTERMAN M.D. (NPI 1164425781) is an individual family medicine provider in Hinckley, Minnesota, licensed in Minnesota (23035) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1164425781
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH E. ETTERMANCredential: M.D.
Location Address206 MAIN ST. E.Hinckley, MN 55037
Mailing Address4570 Cty. Hwy. 61Moose Lake, MN 55767 · (218) 485-4491 · Fax (218) 485-4724
Phone(320) 384-6618
Fax(320) 384-6635
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateDecember 4, 2012
✔ NPI 1164425781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 23035
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
206 MAIN ST. E., Hinckley, MN 55037
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Other Identifiers 3

Medicare UPIND48546MN
Medicaid595790700MN
Medicare PIN089005560MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELINDA R. NINEFELDT P.A.-C.
Physician Assistant
206 MAIN ST. E.
HINCKLEY, MN 55037
Pine County (320) 384-6618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Etterman's NPI number?

The NPI number for Kenneth Etterman is 1164425781. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Kenneth Etterman located?

Kenneth Etterman practices at 206 Main St. E., Hinckley, MN 55037. The listed phone number is (320) 384-6618.

What is Kenneth Etterman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Etterman was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.