Provider Demographics
NPI:1093746877
Name:TRONTVET, KENT A (CRNA)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:A
Last Name:TRONTVET
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 HIGHWAY 59 S
Mailing Address - Street 2:
Mailing Address - City:THIEF RIVER FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56701-4331
Mailing Address - Country:US
Mailing Address - Phone:218-681-4747
Mailing Address - Fax:218-683-2595
Practice Address - Street 1:1720 HIGHWAY 59 S
Practice Address - Street 2:
Practice Address - City:THIEF RIVER FALLS
Practice Address - State:MN
Practice Address - Zip Code:56701-4331
Practice Address - Country:US
Practice Address - Phone:218-681-4747
Practice Address - Fax:218-683-2595
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 112059-4367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN142354OtherUCARE #
MN2000787OtherMEDICA #
MNMN200023OtherLHS/BANNERHEALTH #
MN927442OtherAMERICA'S PPO/ARAZ #
MNHP38628OtherHEALTHPARTNERS #
MN18992OtherNDBS #
MN73D94TROtherMNBS #
MNDA9021016804OtherPREFERRED ONE #
MNMN200023OtherLHS/BANNERHEALTH #