IndividualActive
Kenneth Etterman, M.D.
NPI 1164425781 · Family Medicine Physician · Hinckley, MN
Kenneth Etterman, M.D. is a Family Medicine Physician provider in Hinckley, MN (NPI 1164425781).
Provider details
- NPI number
- 1164425781
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 23035 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
206 Main St. E.
Hinckley, MN 55037
Phone: (320) 384-6618
Fax: (320) 384-6635
Street-level locationGet directions
Mailing address
4570 Cty. Hwy. 61
Moose Lake, MN 55767
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2012-12-04
Frequently asked questions
- What is Kenneth Etterman's NPI number?
- Kenneth Etterman's National Provider Identifier (NPI) is 1164425781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Etterman's specialty?
- Kenneth Etterman is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Etterman located?
- Kenneth Etterman's practice location on file with NPPES is 206 Main St. E., Hinckley, MN 55037.
- What is Kenneth Etterman's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Etterman is (320) 384-6618.
- Is Kenneth Etterman's NPI active?
- Yes — Kenneth Etterman's NPI (1164425781) is active in the NPPES registry as of the last update on 2012-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.