Kathleen Dettman, is a
Licensed Vocational Nurse based in Iron Mountain, Michigan. Kathleen Dettman is licensed to practice in Wisconsin (license number 311918-31) and her current practice location is
325 E H St, Iron Mountain, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 774-3300.
NPI number for Kathleen Dettman is 1679497812 and her current mailing address is 325 E H St, Iron Mountain, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679497812.
Provider's Profile
| Full Name | Kathleen Dettman |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 325 E H St, Iron Mountain, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679497812
- Provider Enumeration Date: 08/10/2026
- Last Update Date: 08/10/2026
Medical Identifiers
Medical identifiers for Kathleen Dettman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679497812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164X00000X | Licensed Vocational Nurse | 311918-31 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Dettman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kathleen Dettman, 325 E H St, Iron Mountain, MI 49801-4760 Ph: (906) 774-3300 | Kathleen Dettman, 325 E H St, Iron Mountain, MI 49801-4760 Ph: (906) 774-3300 |
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