Individual ProviderKevin A WohletzNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address737 Broadway N, Fargo, ND 58122-0001(701) 234-4811(701) 234-5621PECOS EnrollmentBased on the most recent information from CMS, provider Kevin A Wohletz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1760404354Provider TypeIndividualFull NameWohletz, Kevin ACredentialCRNAGenderMaleSole ProprietorNoEnumeration Date7/24/2006Last Updated11/8/2024Contact InformationPractice LocationPractice Address737 Broadway N, Fargo, ND 58122-0001Phone(701) 234-4811Fax(701) 234-6979Mailing LocationMailing Address737 Broadway, Fargo, ND 58122-0001Phone(701) 234-5621Fax(701) 234-7334Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR28727North DakotaCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense540Minnesota