NPI 1316418486

Ken Paul Sweetland

Practitioner Driver Saint Ansgar, IA

Practice location

Address: 4620 Yarrow Ave, Saint Ansgar, IA 50472-7513
Phone: (641) 324-9809
Fax: (641) 324-9809

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 734AA3464 (IA)

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Registry record

NPI: 1316418486
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2018
Record last updated: 16 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.