Provider Demographics
NPI:1790044766
Name:SCHULTES, KENNETH RAYMOND (DVM)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:RAYMOND
Last Name:SCHULTES
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 FRONT AVE
Mailing Address - Street 2:POCAHANTAS VETERINARY CLINIC
Mailing Address - City:POCAHONTAS
Mailing Address - State:IA
Mailing Address - Zip Code:50574
Mailing Address - Country:US
Mailing Address - Phone:712-335-4411
Mailing Address - Fax:712-335-4325
Practice Address - Street 1:218 FRONT AVE
Practice Address - Street 2:POCAHANTAS VETERINARY CLINIC
Practice Address - City:POCAHONTAS
Practice Address - State:IA
Practice Address - Zip Code:50574
Practice Address - Country:US
Practice Address - Phone:712-335-4411
Practice Address - Fax:712-335-4325
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAIOWA5237174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian