Kenneth N Kephart in Minneapolis - Geriatric Medicine
Kenneth N Kephart - NPI 1619066545
Kenneth N Kephart is a Geriatric Medicine in Minneapolis, Minnesota. Kenneth N Kephart practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Kenneth N Kephart is 1619066545. The last update date is 2007-07-08.
Kenneth N Kephart's current location address is 420 Delaware St Se, Minneapolis, Minnesota. You can contact this provider via phone number 6123330770. The mailing address for Kenneth N Kephart is 420 Delaware St Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth N Kephart |
|---|---|
| Address | 420 Delaware St Se, Minneapolis, Minnesota |
| Phone Number | 6123330770 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619066545 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 Delaware St Se |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55455 |
| Phone Number | 6123330770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 26265 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32003 | MN | FAIRVEW | |
| 01-04725 | MN | MEDICA-PRIMARY | |
| 01-04725 | MN | MEDICA-CHOICE | |
| 32G78KE | MN | BCBS | |
| 100544 | MN | U CARE | |
| 934694 | ARAZID | ||
| HP16524 | MN | HEALTH PARTNERS | |
| 628004 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth N Kephart by the Centers for Medicare & Medicaid Services?
The Kenneth N Kephart has been assigned the NPI (National Provider Identifier) 1619066545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kenneth N Kephart?
The Kenneth N Kephart is situated at 420 Delaware St Se, in the city of Minneapolis, state of MN, with the zip code 55455.
What is Kenneth N Kephart's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth N Kephart is Geriatric Medicine, and the taxonomy code that classifies this field of practice is 207Qg0300X.
On what date did the Kenneth N Kephart receive the assignment of its 1619066545 from the Centers for Medicare & Medicaid Services?
The Kenneth N Kephart was issued its 1619066545 by the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date were the details related to Kenneth N Kephart most recently updated or revised?
The information pertaining to Kenneth N Kephart, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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