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Contact Information

KENNETH N KEPHART, MD
2615 EAST FRANKLIN AVENUE
MINNEAPOLIS, MN55406
 Phone: 612-333-0770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KENNETH N KEPHART · (Male)

NPI # 1619066545
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 26265
  • Other 934694 ARAZID
  • MN Other 32G78KE BCBS
  • MN Other 032003 FAIRVEW
  • MN Other HP16524 HEALTH PARTNERS
  • MN Other 01-04725 MEDICA-CHOICE
  • MN Other 01-04725 MEDICA-PRIMARY
  • MN Other 0628004 PREFERRED ONE
  • MN Other 100544 U CARE
Hospital affiliation(s) Not Available
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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