NPI | 1194769737 |
---|---|
Professional Name | KENNETH GENE WETJEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 374T00000X Religious Nonmedical Nursing Personnel (Licence: MN R 094024-1) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2007-07-08 |