Kephart, Kenneth N

Kephart, Kenneth N is an sole proprietor health care provider with primary practice located at 2615 East Franklin Avenue , Minneapolis MN 55406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kephart, Kenneth N can be contacted via phone (612) 333-0770.

Contact Information

Primary practice address
2615 East Franklin Avenue Minneapolis MN 55406
Phone: (612) 333-0770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 26265 Minnesota

Profile Details

NPI number 1619066545
LBN Legal business name Kephart, Kenneth N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619066545 NPPES
Minnesota Other 032003 FAIRVEW
Minnesota Other 01-04725 FAIRVEW
Minnesota Other 01-04725 FAIRVEW
Minnesota Other 32G78KE FAIRVEW
Minnesota Other 100544 FAIRVEW
Minnesota Other 934694 FAIRVEW
Minnesota Other HP16524 FAIRVEW
Minnesota Other 0628004 FAIRVEW

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