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Contact Information

KEVIN S JENNER, MD
3701 12TH ST N
SAINT CLOUD, MN56303-2255
 Phone: 320-258-3090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for KEVIN S JENNER · (Male)

NPI Number 1508151853
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2011
Last updated 07/16/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 60465
Hospital affiliation(s)
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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