Individual
KEVIN WELNETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CNA
Contact information
Practice address
1355 OAK ST STE 100, EUGENE, OR 97401-3566
(541) 683-1125
Mailing address
1355 OAK ST STE 100, EUGENE, OR 97401-3566
(541) 683-1125
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
201506675CNA
OR
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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