1. Home
  2. Directory
  3. Wisconsin
  4. Salem
  5. Specialist
  6. NPI Profile

KENNETH BUETTNER M.D.
NPI 1215035605
Specialist in Salem, WI

Active since September 20, 2006
28512 69TH PL, SALEM, WI 53168(262) 960-5623 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Buettner M.d. NPPES

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

KENNETH BUETTNER M.D. (NPI 1215035605) is an individual specialist in Salem, Wisconsin, licensed in Illinois (036050528) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1215035605
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNETH BUETTNERCredential: M.D.
Location Address28512 69TH PLSalem, WI 53168-9168
Mailing Address28512 69th PlSalem, WI 53168-9168 · (262) 960-5623
Phone(262) 960-5623
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 22, 2009
✔ NPI 1215035605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036050528
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.
28512 69TH PL, Salem, WI 53168
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE18833IL
Medicare PINK09027IL
Medicaid036067511IL

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 Buettner's NPI number?

The NPI number for Kenneth Buettner is 1215035605. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kenneth Buettner located?

Kenneth Buettner practices at 28512 69th Pl, Salem, WI 53168. The listed phone number is (262) 960-5623.

What is Kenneth Buettner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenneth Buettner was last updated on April 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.