Individual
CALVIN WIENTJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4568 QUAIL HOLLOW DR, PADUCAH, KY 42001-5396
(618) 638-3656
Mailing address
4568 QUAIL HOLLOW DR, PADUCAH, KY 42001-5396
(618) 638-3656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.446613
IL
163W00000X
Registered Nurse
199315
TN
163W00000X
Registered Nurse
416443
OH
367500000X
Certified Registered Nurse Anesthetist
209.015519
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
3010948
KY
Other
Enumeration date
12/06/2016
Last updated
03/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us