| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN A WOHLETZ | 1760404354 | 2024-11-08 |
Kevin A Wohletz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760404354. Registration indicates Kevin A Wohletz is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered) (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Kevin A Wohletz CRNA |
| Practice Office Address | 737 BROADWAY N FARGO, ND US |
| Practice Office Telephone | 7012344811 |
| Practice Office Fax | 7012346979 |
| Mailing Address | 737 BROADWAY FARGO, ND 581220001 US |
| Business Telephone | 7012345621 |
| Business Fax | 7012347334 |
| Code | Practice | License No State |
|---|---|---|
| 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered Nurse Anesthetist, Certified Registered All Other Specialties & Provider Types Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers | 540
MN |
| 367500000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered Nurse Anesthetist, Certified Registered All Other Specialties & Provider Types Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers | R28727
ND |